Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $412.00 / $3,258.00 / $10,802.00	Facility		$412.00	$3,258.00	$10,802.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.70 / $1,054.48 / $1,746.87	Professional		$41.70	$1,054.48	$1,746.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,562.46 / $1,562.46 / $1,562.46	Professional		$1,562.46	$1,562.46	$1,562.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $323.00 / $715.00	Facility		$323.00	$323.00	$715.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.28 / $941.82 / $2,276.62	Professional		$44.28	$941.82	$2,276.62
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,882.00 / $6,108.00	Facility		$1,735.00	$2,882.00	$6,108.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $550.66 / $876.10 / $1,401.78	Professional		$550.66	$876.10	$1,401.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $961.04 / $1,354.26 / $2,209.39	Professional		$961.04	$1,354.26	$2,209.39
United Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,611.00 / $8,105.00	Facility		$803.00	$3,611.00	$8,105.00
United Facility/Professional Professional Modifier Low / Median / High Price $995.39 / $1,334.33 / $2,253.08	Professional		$995.39	$1,334.33	$2,253.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.19 / $961.04 / $961.04	Professional		$33.19	$961.04	$961.04