Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $644.00 / $4,729.00 / $11,576.00	Facility		$644.00	$4,729.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $576.87 / $696.11 / $1,034.19	Professional		$576.87	$696.11	$1,034.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $571.95 / $571.95 / $571.95	Professional		$571.95	$571.95	$571.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $788.09 / $1,393.45 / $6,644.00	Facility		$788.09	$1,393.45	$6,644.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $565.10 / $868.83 / $1,371.89	Professional		$565.10	$868.83	$1,371.89
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $3,420.00 / $6,499.00 / $11,885.00	Facility		$3,420.00	$6,499.00	$11,885.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $301.81 / $603.62 / $819.88	Professional		$301.81	$603.62	$819.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.87 / $617.52 / $940.15	Professional		$68.87	$617.52	$940.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $5,675.00 / $9,772.00	Facility		$1,301.00	$5,675.00	$9,772.00
United Facility/Professional Professional Modifier Low / Median / High Price $528.82 / $729.73 / $1,347.41	Professional		$528.82	$729.73	$1,347.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $537.97 / $537.97 / $537.97	Professional		$537.97	$537.97	$537.97