Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.91 / $4,729.00 / $13,066.00	Facility		$389.91	$4,729.00	$13,066.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.36 / $408.92 / $624.83	Professional		$258.36	$408.92	$624.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $164.41 / $164.41 / $260.95	Professional		$164.41	$164.41	$260.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.59 / $12,361.00 / $54,020.00	Facility		$159.59	$12,361.00	$54,020.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.84 / $423.79 / $942.55	Professional		$183.84	$423.79	$942.55
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,424.00 / $2,394.00 / $4,241.00	Facility		$1,424.00	$2,394.00	$4,241.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $175.88 / $243.13 / $486.26	Professional		$175.88	$243.13	$486.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.88 / $230.66 / $386.21	Professional		$34.88	$230.66	$386.21
United Facility/Professional Facility Modifier Low / Median / High Price $345.00 / $1,911.00 / $4,970.00	Facility		$345.00	$1,911.00	$4,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $351.47 / $489.60 / $870.79	Professional		$351.47	$489.60	$870.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $198.11 / $222.61 / $222.61	Professional		$198.11	$222.61	$222.61