Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $4,897.79 / $10,964.78	Facility		$107.15	$4,897.79	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $102.33 / $269.15	Professional		$43.65	$102.33	$269.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $109.65 / $151.36	Professional		$48.98	$109.65	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $83.18	Facility		$34.67	$34.67	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $89.13 / $177.83	Professional		$42.66	$89.13	$177.83
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 $77.62 / $85.11 / $128.82	Professional		$77.62	$85.11	$128.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $58.88 / $173.78	Professional		$32.36	$58.88	$173.78
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 $41.69 / $81.28 / $158.49	Professional		$41.69	$81.28	$158.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $91.20	Professional		$37.15	$37.15	$91.20