Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $644.00 / $5,775.00 / $11,624.00	Facility		$644.00	$5,775.00	$11,624.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $465.95 / $605.51 / $953.82	Professional		$465.95	$605.51	$953.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $697.48 / $697.48 / $697.48	Professional		$697.48	$697.48	$697.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $611.00 / $1,022.68 / $1,217.48	Facility		$611.00	$1,022.68	$1,217.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $449.76 / $697.84 / $1,237.75	Professional		$449.76	$697.84	$1,237.75
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 $264.60 / $441.00 / $730.80	Professional		$264.60	$441.00	$730.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.30 / $458.44 / $835.10	Professional		$75.30	$458.44	$835.10
United Facility/Professional Facility Modifier Low / Median / High Price $539.00 / $2,671.00 / $5,507.00	Facility		$539.00	$2,671.00	$5,507.00
United Facility/Professional Professional Modifier Low / Median / High Price $409.50 / $584.04 / $1,101.57	Professional		$409.50	$584.04	$1,101.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $475.92 / $475.92 / $475.92	Professional		$475.92	$475.92	$475.92