Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.53 / $3,000.00 / $10,632.00	Facility		$139.53	$3,000.00	$10,632.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.35 / $142.08 / $226.15	Professional		$105.35	$142.08	$226.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.70 / $82.39 / $313.04	Professional		$66.70	$82.39	$313.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.97 / $112.75 / $323.00	Facility		$110.97	$112.75	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.76 / $159.43 / $259.50	Professional		$111.76	$159.43	$259.50
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 $83.48 / $129.34 / $197.87	Professional		$83.48	$129.34	$197.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $105.66 / $155.91 / $215.60	Professional		$105.66	$155.91	$215.60
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 $120.87 / $155.40 / $273.00	Professional		$120.87	$155.40	$273.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $103.15 / $132.77 / $132.77	Professional		$103.15	$132.77	$132.77