Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.88 / $3,276.00 / $10,485.00	Facility		$173.88	$3,276.00	$10,485.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.45 / $170.56 / $275.13	Professional		$126.45	$170.56	$275.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $80.29 / $98.80 / $224.80	Professional		$80.29	$98.80	$224.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.05 / $125.02 / $323.00	Facility		$123.05	$125.02	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.22 / $188.76 / $306.05	Professional		$132.22	$188.76	$306.05
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 $101.54 / $155.69 / $238.19	Professional		$101.54	$155.69	$238.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $131.48 / $190.27 / $258.17	Professional		$131.48	$190.27	$258.17
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 $141.43 / $183.62 / $321.99	Professional		$141.43	$183.62	$321.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $122.81 / $158.56 / $158.56	Professional		$122.81	$158.56	$158.56