Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.00 / $3,276.00 / $10,802.00	Facility		$407.00	$3,276.00	$10,802.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.12 / $583.65 / $1,459.75	Professional		$112.12	$583.65	$1,459.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $86.32 / $86.32 / $86.32	Professional		$86.32	$86.32	$86.32
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 $123.81 / $813.47 / $1,970.16	Professional		$123.81	$813.47	$1,970.16
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $5,558.00 / $12,685.00 / $23,031.00	Facility		$5,558.00	$12,685.00	$23,031.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $502.58 / $789.76 / $1,280.95	Professional		$502.58	$789.76	$1,280.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $842.06 / $1,176.19 / $1,926.29	Professional		$842.06	$1,176.19	$1,926.29
United Facility/Professional Facility Modifier Low / Median / High Price $2,637.00 / $8,267.00 / $12,748.00	Facility		$2,637.00	$8,267.00	$12,748.00
United Facility/Professional Professional Modifier Low / Median / High Price $873.21 / $1,181.13 / $2,042.04	Professional		$873.21	$1,181.13	$2,042.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $84.77 / $842.06 / $842.06	Professional		$84.77	$842.06	$842.06