Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $348.61 / $4,555.00 / $11,576.00	Facility		$348.61	$4,555.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.97 / $298.69 / $525.25	Professional		$123.97	$298.69	$525.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $490.24 / $490.24 / $1,049.34	Professional		$490.24	$490.24	$1,049.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $432.00 / $956.77 / $1,139.02	Facility		$432.00	$956.77	$1,139.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.12 / $314.08 / $669.84	Professional		$140.12	$314.08	$669.84
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $3,144.00 / $5,731.00 / $11,037.00	Facility		$3,144.00	$5,731.00	$11,037.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $232.92 / $249.56 / $444.25	Professional		$232.92	$249.56	$444.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $266.43 / $394.76 / $536.91	Professional		$266.43	$394.76	$536.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,681.00 / $5,811.00 / $10,057.00	Facility		$1,681.00	$5,811.00	$10,057.00
United Facility/Professional Professional Modifier Low / Median / High Price $315.24 / $493.30 / $803.36	Professional		$315.24	$493.30	$803.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $107.49 / $270.89 / $270.89	Professional		$107.49	$270.89	$270.89