Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $411.53 / $5,217.97 / $10,843.00	Facility		$411.53	$5,217.97	$10,843.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.33 / $254.94 / $479.28	Professional		$175.33	$254.94	$479.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $287.07 / $287.07 / $1,263.13	Professional		$287.07	$287.07	$1,263.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $2,290.42 / $2,726.70	Facility		$494.00	$2,290.42	$2,726.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.53 / $326.74 / $586.94	Professional		$193.53	$326.74	$586.94
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $5,979.00 / $12,759.00 / $23,031.00	Facility		$5,979.00	$12,759.00	$23,031.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $216.83 / $251.85 / $442.99	Professional		$216.83	$251.85	$442.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $271.68 / $417.76 / $562.39	Professional		$271.68	$417.76	$562.39
United Facility/Professional Facility Modifier Low / Median / High Price $2,637.00 / $8,136.00 / $12,748.00	Facility		$2,637.00	$8,136.00	$12,748.00
United Facility/Professional Professional Modifier Low / Median / High Price $255.10 / $380.85 / $673.14	Professional		$255.10	$380.85	$673.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $151.91 / $268.60 / $268.60	Professional		$151.91	$268.60	$268.60