Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $374.00 / $1,663.30 / $8,015.11	Facility		$374.00	$1,663.30	$8,015.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.41 / $194.07 / $309.08	Professional		$129.41	$194.07	$309.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $129.88 / $135.31 / $195.49	Professional		$129.88	$135.31	$195.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $322.70 / $327.88 / $432.00	Facility		$322.70	$327.88	$432.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.75 / $215.01 / $344.14	Professional		$133.75	$215.01	$344.14
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,881.00 / $6,066.00	Facility		$1,735.00	$2,881.00	$6,066.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $144.58 / $179.46 / $282.67	Professional		$144.58	$179.46	$282.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $153.34 / $230.19 / $319.45	Professional		$153.34	$230.19	$319.45
United Facility/Professional Facility Modifier Low / Median / High Price $331.00 / $1,986.00 / $4,970.00	Facility		$331.00	$1,986.00	$4,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $167.74 / $220.32 / $385.06	Professional		$167.74	$220.32	$385.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $117.96 / $177.96 / $177.96	Professional		$117.96	$177.96	$177.96