Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $618.51 / $5,182.00 / $11,576.00	Facility		$618.51	$5,182.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $581.69 / $686.16 / $904.05	Professional		$581.69	$686.16	$904.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $575.79 / $575.79 / $712.64	Professional		$575.79	$575.79	$712.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $611.00 / $1,574.05 / $1,873.87	Facility		$611.00	$1,574.05	$1,873.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $570.92 / $896.15 / $1,430.12	Professional		$570.92	$896.15	$1,430.12
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $5,979.00 / $12,804.00 / $23,031.00	Facility		$5,979.00	$12,804.00	$23,031.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $313.44 / $632.35 / $783.00	Professional		$313.44	$632.35	$783.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.34 / $642.13 / $984.19	Professional		$69.34	$642.13	$984.19
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 $512.92 / $723.60 / $1,317.46	Professional		$512.92	$723.60	$1,317.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $547.41 / $547.41 / $642.08	Professional		$547.41	$547.41	$642.08