Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $769.00 / $3,768.90 / $10,843.00	Facility		$769.00	$3,768.90	$10,843.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.89 / $967.50 / $1,505.53	Professional		$201.89	$967.50	$1,505.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $299.85 / $299.85 / $1,640.77	Professional		$299.85	$299.85	$1,640.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $323.00 / $323.00	Facility		$323.00	$323.00	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.24 / $567.97 / $2,030.04	Professional		$204.24	$567.97	$2,030.04
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,240.00 / $2,674.00 / $6,696.00	Facility		$1,240.00	$2,674.00	$6,696.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $775.71 / $831.12 / $1,461.87	Professional		$775.71	$831.12	$1,461.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $868.04 / $1,317.57 / $1,798.37	Professional		$868.04	$1,317.57	$1,798.37
United Facility/Professional Facility Modifier Low / Median / High Price $345.00 / $1,911.00 / $4,970.00	Facility		$345.00	$1,911.00	$4,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,034.47 / $1,526.62 / $2,606.90	Professional		$1,034.47	$1,526.62	$2,606.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $159.32 / $916.87 / $916.87	Professional		$159.32	$916.87	$916.87