Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.36 / $3,000.00 / $11,576.00	Facility		$58.36	$3,000.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.75 / $80.84 / $169.60	Professional		$43.75	$80.84	$169.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $105.00 / $215.90	Professional		$87.10	$105.00	$215.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.18 / $86.26 / $170.94	Professional		$44.18	$86.26	$170.94
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 $46.94 / $82.91 / $135.75	Professional		$46.94	$82.91	$135.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $128.43 / $173.20	Professional		$53.08	$128.43	$173.20
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 $57.56 / $99.61 / $171.82	Professional		$57.56	$99.61	$171.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $39.32 / $91.66 / $91.66	Professional		$39.32	$91.66	$91.66