Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $4,897.79 / $10,964.78	Facility		$125.89	$4,897.79	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $112.20 / $275.42	Professional		$54.95	$112.20	$275.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $123.03 / $213.80	Professional		$75.86	$123.03	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $89.13 / $107.15	Facility		$34.67	$89.13	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $107.15 / $208.93	Professional		$53.70	$107.15	$208.93
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 $91.20 / $95.50 / $144.54	Professional		$91.20	$95.50	$144.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $74.13 / $194.98	Professional		$32.36	$74.13	$194.98
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 $51.29 / $97.72 / $190.55	Professional		$51.29	$97.72	$190.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $104.71	Professional		$46.77	$46.77	$104.71