Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $3,235.94 / $10,000.00	Facility		$549.54	$3,235.94	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $363.08 / $831.76	Professional		$218.78	$363.08	$831.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $239.88 / $389.05	Professional		$190.55	$239.88	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $1,202.26 / $1,778.28	Facility		$323.59	$1,202.26	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $380.19 / $676.08	Professional		$218.78	$380.19	$676.08
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $8,317.64 / $16,595.87	Facility		$4,168.69	$8,317.64	$16,595.87
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $251.19 / $436.52	Professional		$151.36	$251.19	$436.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $269.15	Professional		$32.36	$33.11	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $7,585.78 / $12,022.64	Facility		$2,290.87	$7,585.78	$12,022.64
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $331.13 / $549.54	Professional		$194.98	$331.13	$549.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $213.80	Professional		$169.82	$169.82	$213.80