Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $1,698.24 / $7,943.28	Facility		$123.03	$1,698.24	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $39.81 / $128.82	Professional		$14.13	$39.81	$128.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $64.57 / $123.03	Professional		$16.22	$64.57	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $34.67	Facility		$26.92	$26.92	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $38.02 / $89.13	Professional		$13.80	$38.02	$89.13
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,454.71 / $4,168.69	Facility		$1,445.44	$2,454.71	$4,168.69
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $47.86 / $75.86	Professional		$23.99	$47.86	$75.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $33.11 / $100.00	Professional		$12.30	$33.11	$100.00
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 $13.18 / $34.67 / $72.44	Professional		$13.18	$34.67	$72.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $52.48	Professional		$11.75	$11.75	$52.48