Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $4,786.30 / $10,964.78	Facility		$109.65	$4,786.30	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $100.00 / $239.88	Professional		$52.48	$100.00	$239.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $107.15 / $199.53	Professional		$54.95	$107.15	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $89.13	Facility		$34.67	$34.67	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $95.50 / $158.49	Professional		$46.77	$95.50	$158.49
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,454.71 / $4,168.69	Facility		$1,513.56	$2,454.71	$4,168.69
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $83.18 / $123.03	Professional		$77.62	$83.18	$123.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $63.10 / $165.96	Professional		$32.36	$63.10	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $1,584.89 / $4,168.69	Facility		$263.03	$1,584.89	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $85.11 / $151.36	Professional		$46.77	$85.11	$151.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $89.13	Professional		$39.81	$39.81	$89.13