Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.41 / $3,401.00 / $10,086.00	Facility		$188.41	$3,401.00	$10,086.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.75 / $179.23 / $285.01	Professional		$131.75	$179.23	$285.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.05 / $103.59 / $216.08	Professional		$88.05	$103.59	$216.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $705.99 / $840.46	Facility		$323.00	$705.99	$840.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.78 / $203.61 / $333.25	Professional		$140.78	$203.61	$333.25
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2,561.00 / $4,821.00 / $9,360.00	Facility		$2,561.00	$4,821.00	$9,360.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $107.96 / $170.76 / $260.48	Professional		$107.96	$170.76	$260.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $132.52 / $192.79 / $265.33	Professional		$132.52	$192.79	$265.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,014.00 / $3,611.00 / $8,105.00	Facility		$1,014.00	$3,611.00	$8,105.00
United Facility/Professional Professional Modifier Low / Median / High Price $154.24 / $201.95 / $361.00	Professional		$154.24	$201.95	$361.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $128.43 / $172.85 / $172.85	Professional		$128.43	$172.85	$172.85