Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.82 / $3,751.00 / $10,632.00	Facility		$250.82	$3,751.00	$10,632.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.52 / $250.82 / $419.30	Professional		$138.52	$250.82	$419.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.88 / $147.88 / $232.82	Professional		$147.88	$147.88	$232.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $432.00 / $1,022.68 / $1,217.48	Facility		$432.00	$1,022.68	$1,217.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.38 / $286.20 / $559.30	Professional		$152.38	$286.20	$559.30
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $3,105.00 / $5,731.00 / $11,037.00	Facility		$3,105.00	$5,731.00	$11,037.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $123.22 / $222.67 / $361.79	Professional		$123.22	$222.67	$361.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.41 / $264.01 / $450.24	Professional		$32.41	$264.01	$450.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,681.00 / $5,811.00 / $10,057.00	Facility		$1,681.00	$5,811.00	$10,057.00
United Facility/Professional Professional Modifier Low / Median / High Price $224.24 / $304.62 / $519.26	Professional		$224.24	$304.62	$519.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $138.90 / $247.92 / $247.92	Professional		$138.90	$247.92	$247.92