Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $526.00 / $4,447.00 / $11,576.00	Facility		$526.00	$4,447.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.22 / $294.73 / $442.46	Professional		$274.22	$294.73	$442.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $401.36 / $401.36 / $401.36	Professional		$401.36	$401.36	$401.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $400.00 / $10,000.00	Facility		$400.00	$400.00	$10,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.50 / $438.57 / $688.21	Professional		$294.50	$438.57	$688.21
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $9,460.00 / $21,162.00 / $32,051.00	Facility		$9,460.00	$21,162.00	$32,051.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $234.13 / $250.86 / $441.24	Professional		$234.13	$250.86	$441.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.66 / $301.66 / $443.17	Professional		$48.66	$301.66	$443.17
United Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,611.00 / $8,105.00	Facility		$803.00	$3,611.00	$8,105.00
United Facility/Professional Professional Modifier Low / Median / High Price $275.39 / $400.08 / $686.21	Professional		$275.39	$400.08	$686.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $259.66 / $259.66 / $259.66	Professional		$259.66	$259.66	$259.66