Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.02 / $3,276.00 / $11,576.00	Facility		$77.02	$3,276.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.67 / $87.47 / $136.15	Professional		$56.67	$87.47	$136.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.53 / $109.28 / $179.12	Professional		$84.53	$109.28	$179.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.42 / $95.73 / $158.76	Professional		$46.42	$95.73	$158.76
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,438.00 / $2,394.00 / $4,243.00	Facility		$1,438.00	$2,394.00	$4,243.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $53.14 / $86.17 / $131.74	Professional		$53.14	$86.17	$131.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.77 / $98.78 / $142.16	Professional		$53.77	$98.78	$142.16
United Facility/Professional Facility Modifier Low / Median / High Price $351.00 / $1,954.00 / $5,107.00	Facility		$351.00	$1,954.00	$5,107.00
United Facility/Professional Professional Modifier Low / Median / High Price $71.93 / $95.40 / $175.91	Professional		$71.93	$95.40	$175.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $88.85 / $88.85	Professional		$39.83	$88.85	$88.85