Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $391.07 / $723.48 / $1,487.26	Facility		$391.07	$723.48	$1,487.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $383.07 / $391.07 / $434.47	Professional		$383.07	$391.07	$434.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $391.07 / $391.07 / $391.07	Professional		$391.07	$391.07	$391.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $368.93 / $391.07 / $391.07	Facility		$368.93	$391.07	$391.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $391.07 / $391.07 / $391.07	Professional		$391.07	$391.07	$391.07
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $391.07 / $391.07 / $391.07	Facility		$391.07	$391.07	$391.07
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $195.54 / $391.07 / $391.07	Professional		$195.54	$391.07	$391.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,332,000.00 / $2,565,200.00 / $3,731,200.00	Professional		$2,332,000.00	$2,565,200.00	$3,731,200.00
United Facility/Professional Professional Modifier Low / Median / High Price $391.07 / $414.53 / $435.26	Professional		$391.07	$414.53	$435.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $383.07 / $383.07 / $391.07	Professional		$383.07	$383.07	$391.07