Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.27 / $3,401.00 / $11,576.00	Facility		$89.27	$3,401.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.64 / $121.22 / $196.03	Professional		$82.64	$121.22	$196.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.90 / $154.90 / $154.90	Professional		$154.90	$154.90	$154.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.23 / $114.04 / $323.00	Facility		$112.23	$114.04	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.32 / $148.07 / $267.22	Professional		$82.32	$148.07	$267.22
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 $79.44 / $129.38 / $205.19	Professional		$79.44	$129.38	$205.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.57 / $193.82 / $259.20	Professional		$98.57	$193.82	$259.20
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 $103.94 / $156.55 / $273.98	Professional		$103.94	$156.55	$273.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $73.02 / $137.62 / $137.62	Professional		$73.02	$137.62	$137.62