Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $728.45 / $5,839.00 / $11,576.00	Facility		$728.45	$5,839.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $681.22 / $728.45 / $1,124.31	Professional		$681.22	$728.45	$1,124.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.19 / $382.41 / $813.02	Professional		$61.19	$382.41	$813.02
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 $707.73 / $1,067.09 / $1,686.81	Professional		$707.73	$1,067.09	$1,686.81
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 $588.32 / $630.35 / $1,108.73	Professional		$588.32	$630.35	$1,108.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $151.51 / $558.80 / $1,030.55	Professional		$151.51	$558.80	$1,030.55
United Facility/Professional Facility Modifier Low / Median / High Price $2,637.00 / $8,136.00 / $12,748.00	Facility		$2,637.00	$8,136.00	$12,748.00
United Facility/Professional Professional Modifier Low / Median / High Price $696.01 / $966.19 / $1,743.81	Professional		$696.01	$966.19	$1,743.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $630.14 / $630.14 / $630.14	Professional		$630.14	$630.14	$630.14