Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.91 / $3,279.00 / $11,576.00	Facility		$57.91	$3,279.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.85 / $88.20 / $149.78	Professional		$53.85	$88.20	$149.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $99.09 / $116.57 / $127.21	Professional		$99.09	$116.57	$127.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.29 / $91.56 / $109.00	Facility		$90.29	$91.56	$109.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.03 / $100.67 / $183.44	Professional		$54.03	$100.67	$183.44
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 $54.23 / $94.29 / $154.41	Professional		$54.23	$94.29	$154.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.80 / $129.19 / $183.90	Professional		$64.80	$129.19	$183.90
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 $80.02 / $112.80 / $207.34	Professional		$80.02	$112.80	$207.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $103.92 / $103.92	Professional		$48.00	$103.92	$103.92