Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $509.25 / $3,836.00 / $12,173.00	Facility		$509.25	$3,836.00	$12,173.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $469.39 / $547.39 / $743.30	Professional		$469.39	$547.39	$743.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,483.57 / $1,483.57 / $1,483.57	Professional		$1,483.57	$1,483.57	$1,483.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $909.17 / $923.78 / $1,297.00	Facility		$909.17	$923.78	$1,297.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $456.36 / $729.16 / $1,167.05	Professional		$456.36	$729.16	$1,167.05
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $3,122.00 / $5,734.00 / $11,062.00	Facility		$3,122.00	$5,734.00	$11,062.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $243.99 / $510.68 / $652.10	Professional		$243.99	$510.68	$652.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.87 / $545.01 / $827.47	Professional		$68.87	$545.01	$827.47
United Facility/Professional Facility Modifier Low / Median / High Price $2,774.00 / $8,301.00 / $12,989.00	Facility		$2,774.00	$8,301.00	$12,989.00
United Facility/Professional Professional Modifier Low / Median / High Price $416.49 / $586.52 / $1,055.08	Professional		$416.49	$586.52	$1,055.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $463.16 / $463.16 / $524.45	Professional		$463.16	$463.16	$524.45