Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.82 / $4,299.00 / $10,272.00	Facility		$195.82	$4,299.00	$10,272.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.99 / $193.37 / $301.13	Professional		$146.99	$193.37	$301.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.82 / $110.26 / $434.61	Professional		$104.82	$110.26	$434.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $432.00 / $705.99 / $840.46	Facility		$432.00	$705.99	$840.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.88 / $217.32 / $354.39	Professional		$151.88	$217.32	$354.39
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 $117.72 / $181.75 / $277.72	Professional		$117.72	$181.75	$277.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.30 / $193.82 / $275.74	Professional		$137.30	$193.82	$275.74
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 $161.90 / $211.14 / $392.54	Professional		$161.90	$211.14	$392.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $141.19 / $183.83 / $183.83	Professional		$141.19	$183.83	$183.83