Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $5,128.61 / $12,589.25	Facility		$933.25	$5,128.61	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $851.14 / $1,584.89	Professional		$660.69	$851.14	$1,584.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Professional		$724.44	$724.44	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $13,182.57 / $53,703.18	Facility		$2,511.89	$13,182.57	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,047.13 / $1,862.09	Professional		$630.96	$1,047.13	$1,862.09
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 $489.78 / $524.81 / $812.83	Professional		$489.78	$524.81	$812.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $977.24	Professional		$32.36	$33.11	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $10,232.93 / $22,387.21	Facility		$3,311.31	$10,232.93	$22,387.21
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $912.01 / $1,584.89	Professional		$630.96	$912.01	$1,584.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $691.83	Professional		$602.56	$602.56	$691.83