Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $2,290.87 / $7,943.28	Facility		$75.86	$2,290.87	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $97.72 / $234.42	Professional		$63.10	$97.72	$234.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $87.10 / $131.83	Professional		$70.79	$87.10	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $1,318.26	Facility		$128.82	$128.82	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $85.11 / $138.04	Professional		$60.26	$85.11	$138.04
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 $63.10 / $67.61 / $102.33	Professional		$63.10	$67.61	$102.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $75.86 / $134.90	Professional		$32.36	$75.86	$134.90
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 $53.70 / $74.13 / $138.04	Professional		$53.70	$74.13	$138.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $70.79 / $85.11	Professional		$58.88	$70.79	$85.11