Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.00 / $94.00 / $5,786.00	Facility		$94.00	$94.00	$5,786.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.00 / $94.00 / $118.38	Professional		$94.00	$94.00	$118.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.75 / $74.75 / $93.40	Professional		$74.75	$74.75	$93.40
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $50.91 / $54.30 / $58.72	Facility		$50.91	$54.30	$58.72
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $107.65 / $145.88 / $162.61	Professional		$107.65	$145.88	$162.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $229.15	Professional		$40.00	$40.00	$229.15
United Facility/Professional Facility Modifier Low / Median / High Price $345.00 / $1,916.00 / $4,970.00	Facility		$345.00	$1,916.00	$4,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $127.37 / $182.46 / $323.77	Professional		$127.37	$182.46	$323.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $269.36 / $269.36 / $269.36	Professional		$269.36	$269.36	$269.36