Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $341.58 / $4,790.00 / $11,550.00	Facility		$341.58	$4,790.00	$11,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.52 / $329.02 / $540.25	Professional		$233.52	$329.02	$540.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $314.93 / $368.13 / $408.18	Professional		$314.93	$368.13	$408.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $303.08 / $2,187.65 / $2,291.64	Facility		$303.08	$2,187.65	$2,291.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.64 / $436.26 / $685.75	Professional		$272.64	$436.26	$685.75
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 $271.32 / $298.16 / $499.86	Professional		$271.32	$298.16	$499.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $297.30 / $428.41 / $586.65	Professional		$297.30	$428.41	$586.65
United Facility/Professional Facility Modifier Low / Median / High Price $539.00 / $2,875.00 / $23,125.00	Facility		$539.00	$2,875.00	$23,125.00
United Facility/Professional Professional Modifier Low / Median / High Price $316.77 / $460.39 / $847.51	Professional		$316.77	$460.39	$847.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $220.86 / $310.22 / $310.22	Professional		$220.86	$310.22	$310.22