Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.49 / $3,279.00 / $9,639.00	Facility		$133.49	$3,279.00	$9,639.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.54 / $129.71 / $214.78	Professional		$89.54	$129.71	$214.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.67 / $144.13 / $158.47	Professional		$68.67	$144.13	$158.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.15 / $101.76 / $323.00	Facility		$100.15	$101.76	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.73 / $143.38 / $235.19	Professional		$93.73	$143.38	$235.19
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2,104.00 / $3,121.00 / $6,861.00	Facility		$2,104.00	$3,121.00	$6,861.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $77.68 / $118.80 / $181.93	Professional		$77.68	$118.80	$181.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.64 / $135.91 / $194.44	Professional		$97.64	$135.91	$194.44
United Facility/Professional Facility Modifier Low / Median / High Price $591.00 / $2,671.00 / $5,507.00	Facility		$591.00	$2,671.00	$5,507.00
United Facility/Professional Professional Modifier Low / Median / High Price $111.77 / $144.71 / $254.10	Professional		$111.77	$144.71	$254.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $84.51 / $122.05 / $122.05	Professional		$84.51	$122.05	$122.05