Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.62 / $2,133.00 / $9,095.00	Facility		$74.62	$2,133.00	$9,095.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.27 / $76.09 / $149.90	Professional		$60.27	$76.09	$149.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.90 / $83.83 / $167.82	Professional		$67.90	$83.83	$167.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.82 / $83.98 / $136.22	Professional		$60.82	$83.98	$136.22
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 $42.55 / $67.05 / $105.82	Professional		$42.55	$67.05	$105.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.23 / $98.98 / $133.94	Professional		$71.23	$98.98	$133.94
United Facility/Professional Facility Modifier Low / Median / High Price $366.00 / $1,950.00 / $4,970.00	Facility		$366.00	$1,950.00	$4,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $61.09 / $79.01 / $141.82	Professional		$61.09	$79.01	$141.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $59.49 / $71.23 / $71.23	Professional		$59.49	$71.23	$71.23