Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,388.44 / $10,715.19	Facility		$100.00	$3,388.44	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $107.15 / $323.59	Professional		$44.67	$107.15	$323.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $104.71 / $134.90	Professional		$87.10	$104.71	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $87.10	Facility		$34.67	$34.67	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $89.13 / $173.78	Professional		$44.67	$89.13	$173.78
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 $74.13 / $83.18 / $125.89	Professional		$74.13	$83.18	$125.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $61.66 / $169.82	Professional		$32.36	$61.66	$169.82
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 $40.74 / $79.43 / $158.49	Professional		$40.74	$79.43	$158.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $91.20	Professional		$38.90	$38.90	$91.20