Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $4,265.80 / $10,964.78	Facility		$269.15	$4,265.80	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $229.09 / $616.60	Professional		$181.97	$229.09	$616.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $1,096.48	Professional		$269.15	$269.15	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $1,659.59 / $2,290.87	Facility		$371.54	$1,659.59	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $302.00 / $562.34	Professional		$208.93	$302.00	$562.34
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $10,715.19 / $21,379.62	Facility		$5,370.32	$10,715.19	$21,379.62
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $190.55 / $288.40	Professional		$177.83	$190.55	$288.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $323.59	Professional		$32.36	$33.11	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $5,623.41 / $9,772.37	Facility		$1,737.80	$5,623.41	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $269.15 / $467.74	Professional		$186.21	$269.15	$467.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $190.55 / $251.19	Professional		$169.82	$190.55	$251.19