Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $3,715.35 / $10,000.00	Facility		$741.31	$3,715.35	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $537.03 / $1,412.54	Professional		$173.78	$537.03	$1,412.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $223.87 / $660.69	Professional		$154.88	$223.87	$660.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $1,659.59 / $1,698.24	Facility		$295.12	$1,659.59	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $602.56 / $1,380.38	Professional		$177.83	$602.56	$1,380.38
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $12,022.64 / $22,908.68	Facility		$6,165.95	$12,022.64	$22,908.68
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $524.81 / $676.08	Professional		$501.19	$524.81	$676.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $851.14	Professional		$32.36	$33.11	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $5,623.41 / $9,772.37	Facility		$1,737.80	$5,623.41	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $489.78 / $1,288.25	Professional		$169.82	$489.78	$1,288.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $537.03 / $707.95	Professional		$131.83	$537.03	$707.95