Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,128.02 / $6,955.68 / $9,406.25	Facility		$4,128.02	$6,955.68	$9,406.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,125.55 / $4,128.02 / $4,540.82	Professional		$4,125.55	$4,128.02	$4,540.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4,128.02 / $4,128.02 / $4,128.02	Professional		$4,128.02	$4,128.02	$4,128.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,894.36 / $4,128.02 / $4,189.12	Facility		$3,894.36	$4,128.02	$4,189.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,128.02 / $4,128.02 / $4,128.02	Professional		$4,128.02	$4,128.02	$4,128.02
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $65.73 / $4,128.02 / $4,128.02	Facility		$65.73	$4,128.02	$4,128.02
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $2,180.84 / $4,361.68 / $4,361.68	Professional		$2,180.84	$4,361.68	$4,361.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $87.79 / $3,850.34 / $6,417.24	Professional		$87.79	$3,850.34	$6,417.24
United Facility/Professional Professional Modifier Low / Median / High Price $4,128.02 / $4,375.70 / $4,594.49	Professional		$4,128.02	$4,375.70	$4,594.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4,125.55 / $4,125.55 / $4,128.02	Professional		$4,125.55	$4,125.55	$4,128.02