Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $3,235.94 / $9,120.11	Facility		$549.54	$3,235.94	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $54.95 / $147.91	Professional		$25.12	$54.95	$147.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $83.18 / $144.54	Professional		$60.26	$83.18	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $63.10 / $66.07	Facility		$34.67	$63.10	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $58.88 / $114.82	Professional		$25.12	$58.88	$114.82
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 $37.15 / $63.10 / $95.50	Professional		$37.15	$63.10	$95.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $38.90 / $125.89	Professional		$22.91	$38.90	$125.89
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 $24.55 / $52.48 / $104.71	Professional		$24.55	$52.48	$104.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $63.10	Professional		$21.38	$21.38	$63.10