Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.88 / $3,276.00 / $11,576.00	Facility		$55.88	$3,276.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.42 / $90.85 / $170.23	Professional		$52.42	$90.85	$170.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.88 / $122.35 / $175.00	Professional		$98.88	$122.35	$175.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.83 / $100.64 / $201.21	Professional		$51.83	$100.64	$201.21
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 $56.14 / $94.12 / $154.10	Professional		$56.14	$94.12	$154.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.69 / $129.19 / $183.94	Professional		$61.69	$129.19	$183.94
United Facility/Professional Facility Modifier Low / Median / High Price $345.00 / $1,954.00 / $5,107.00	Facility		$345.00	$1,954.00	$5,107.00
United Facility/Professional Professional Modifier Low / Median / High Price $88.37 / $120.00 / $207.39	Professional		$88.37	$120.00	$207.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $45.70 / $103.92 / $103.92	Professional		$45.70	$103.92	$103.92