Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $3,401.00 / $11,576.00	Facility		$45.71	$3,401.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.74 / $76.89 / $141.84	Professional		$43.74	$76.89	$141.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.96 / $107.92 / $216.94	Professional		$53.96	$107.92	$216.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.94 / $87.48 / $176.11	Professional		$42.94	$87.48	$176.11
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 $48.23 / $83.02 / $136.21	Professional		$48.23	$83.02	$136.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.97 / $128.74 / $173.20	Professional		$49.97	$128.74	$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 $74.95 / $104.41 / $185.56	Professional		$74.95	$104.41	$185.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $37.02 / $92.17 / $92.17	Professional		$37.02	$92.17	$92.17