Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $668.00 / $5,839.00 / $11,576.00	Facility		$668.00	$5,839.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $499.69 / $605.82 / $903.85	Professional		$499.69	$605.82	$903.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $565.21 / $565.21 / $565.21	Professional		$565.21	$565.21	$565.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $692.27 / $1,679.72 / $6,644.00	Facility		$692.27	$1,679.72	$6,644.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $511.83 / $775.57 / $1,197.20	Professional		$511.83	$775.57	$1,197.20
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $4,672.00 / $12,190.00 / $22,833.00	Facility		$4,672.00	$12,190.00	$22,833.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $271.02 / $516.25 / $741.66	Professional		$271.02	$516.25	$741.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.84 / $563.83 / $841.17	Professional		$68.84	$563.83	$841.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,788.00 / $7,558.00 / $12,040.00	Facility		$1,788.00	$7,558.00	$12,040.00
United Facility/Professional Professional Modifier Low / Median / High Price $470.40 / $646.59 / $1,200.06	Professional		$470.40	$646.59	$1,200.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $472.09 / $472.09 / $472.09	Professional		$472.09	$472.09	$472.09