Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $591.00 / $4,818.00 / $12,590.00	Facility		$591.00	$4,818.00	$12,590.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.63 / $654.01 / $1,130.17	Professional		$308.63	$654.01	$1,130.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $246.94 / $246.94 / $1,176.77	Professional		$246.94	$246.94	$1,176.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,649.96 / $11,061.00 / $26,709.00	Facility		$1,649.96	$11,061.00	$26,709.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.90 / $691.17 / $1,459.40	Professional		$331.90	$691.17	$1,459.40
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 $559.29 / $599.25 / $1,071.86	Professional		$559.29	$599.25	$1,071.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $633.67 / $955.55 / $1,288.73	Professional		$633.67	$955.55	$1,288.73
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 $711.99 / $1,081.39 / $1,801.66	Professional		$711.99	$1,081.39	$1,801.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $262.47 / $570.25 / $570.25	Professional		$262.47	$570.25	$570.25