Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.48 / $3,401.00 / $11,576.00	Facility		$69.48	$3,401.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.54 / $98.55 / $180.63	Professional		$63.54	$98.55	$180.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $115.00 / $132.72 / $139.50	Professional		$115.00	$132.72	$139.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.11 / $102.53 / $122.06	Facility		$101.11	$102.53	$122.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.19 / $117.20 / $227.63	Professional		$64.19	$117.20	$227.63
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 $63.29 / $107.31 / $175.83	Professional		$63.29	$107.31	$175.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.86 / $131.38 / $190.23	Professional		$76.86	$131.38	$190.23
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 $97.66 / $136.26 / $245.34	Professional		$97.66	$136.26	$245.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $56.94 / $118.22 / $118.22	Professional		$56.94	$118.22	$118.22