Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.22 / $3,279.00 / $11,576.00	Facility		$64.22	$3,279.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.05 / $96.57 / $172.08	Professional		$62.05	$96.57	$172.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.57 / $129.36 / $133.26	Professional		$123.57	$129.36	$133.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.35 / $114.87 / $218.28	Professional		$61.35	$114.87	$218.28
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,752.00 / $2,882.00 / $6,066.00	Facility		$1,752.00	$2,882.00	$6,066.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $103.92 / $163.69	Professional		$63.10	$103.92	$163.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.01 / $129.74 / $188.18	Professional		$71.01	$129.74	$188.18
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 $80.81 / $129.52 / $218.67	Professional		$80.81	$129.52	$218.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $52.60 / $109.79 / $109.79	Professional		$52.60	$109.79	$109.79