Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,039.61 / $5,839.00 / $11,576.00	Facility		$1,039.61	$5,839.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,033.32 / $1,106.33 / $1,468.46	Professional		$1,033.32	$1,106.33	$1,468.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $672.67 / $672.67 / $672.67	Professional		$672.67	$672.67	$672.67
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 $1,046.46 / $1,646.57 / $2,498.92	Professional		$1,046.46	$1,646.57	$2,498.92
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $9,624.00 / $21,162.00 / $32,051.00	Facility		$9,624.00	$21,162.00	$32,051.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $880.60 / $943.50 / $1,659.54	Professional		$880.60	$943.50	$1,659.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.60 / $1,205.55 / $1,721.19	Professional		$106.60	$1,205.55	$1,721.19
United Facility/Professional Facility Modifier Low / Median / High Price $677.00 / $5,350.00 / $13,093.00	Facility		$677.00	$5,350.00	$13,093.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,025.09 / $1,462.86 / $2,590.40	Professional		$1,025.09	$1,462.86	$2,590.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $956.70 / $956.70 / $956.70	Professional		$956.70	$956.70	$956.70