Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $769.00 / $5,839.00 / $12,669.00	Facility		$769.00	$5,839.00	$12,669.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $697.33 / $773.11 / $984.98	Professional		$697.33	$773.11	$984.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $408.96 / $408.96 / $408.96	Professional		$408.96	$408.96	$408.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $400.00 / $10,000.00	Facility		$323.00	$400.00	$10,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $756.09 / $1,145.11 / $1,785.47	Professional		$756.09	$1,145.11	$1,785.47
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $8,489.00 / $19,859.00 / $31,832.00	Facility		$8,489.00	$19,859.00	$31,832.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $600.89 / $643.80 / $1,132.41	Professional		$600.89	$643.80	$1,132.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $105.16 / $763.61 / $1,135.05	Professional		$105.16	$763.61	$1,135.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,869.00 / $5,845.00 / $9,684.00	Facility		$1,869.00	$5,845.00	$9,684.00
United Facility/Professional Professional Modifier Low / Median / High Price $717.04 / $1,010.85 / $1,789.92	Professional		$717.04	$1,010.85	$1,789.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $661.55 / $661.55 / $661.55	Professional		$661.55	$661.55	$661.55