Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.23 / $3,276.00 / $11,576.00	Facility		$31.23	$3,276.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.73 / $56.44 / $124.87	Professional		$28.73	$56.44	$124.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.03 / $74.84 / $177.21	Professional		$44.03	$74.84	$177.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.92 / $65.70 / $137.51	Professional		$28.92	$65.70	$137.51
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,752.00 / $2,882.00 / $6,066.00	Facility		$1,752.00	$2,882.00	$6,066.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $34.11 / $64.86 / $110.76	Professional		$34.11	$64.86	$110.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.81 / $96.91 / $135.67	Professional		$34.81	$96.91	$135.67
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 $55.60 / $82.81 / $154.21	Professional		$55.60	$82.81	$154.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.79 / $75.31 / $75.31	Professional		$25.79	$75.31	$75.31