Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $978.00 / $7,671.00 / $14,280.00	Facility		$978.00	$7,671.00	$14,280.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $853.33 / $1,284.18 / $1,892.32	Professional		$853.33	$1,284.18	$1,892.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,088.39 / $1,280.69 / $1,846.10	Professional		$1,088.39	$1,280.69	$1,846.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,957.52 / $12,361.00 / $54,020.00	Facility		$1,957.52	$12,361.00	$54,020.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $877.62 / $1,389.86 / $2,951.86	Professional		$877.62	$1,389.86	$2,951.86
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 $640.73 / $842.44 / $1,418.75	Professional		$640.73	$842.44	$1,418.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $146.04 / $806.57 / $1,442.32	Professional		$146.04	$806.57	$1,442.32
United Facility/Professional Facility Modifier Low / Median / High Price $3,320.00 / $10,309.00 / $15,888.00	Facility		$3,320.00	$10,309.00	$15,888.00
United Facility/Professional Professional Modifier Low / Median / High Price $862.94 / $1,220.34 / $2,186.06	Professional		$862.94	$1,220.34	$2,186.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $862.49 / $862.49 / $862.49	Professional		$862.49	$862.49	$862.49