Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $778.00 / $5,797.00 / $11,576.00	Facility		$778.00	$5,797.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $393.12 / $417.56 / $703.40	Professional		$393.12	$417.56	$703.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $698.22 / $698.22 / $698.22	Professional		$698.22	$698.22	$698.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $611.00 / $1,649.96 / $1,964.23	Facility		$611.00	$1,649.96	$1,964.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $383.52 / $601.01 / $961.23	Professional		$383.52	$601.01	$961.23
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 $312.83 / $335.17 / $589.54	Professional		$312.83	$335.17	$589.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.45 / $443.75 / $630.58	Professional		$68.45	$443.75	$630.58
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 $375.14 / $530.44 / $919.44	Professional		$375.14	$530.44	$919.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $349.79 / $349.79 / $349.79	Professional		$349.79	$349.79	$349.79