Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.83 / $3,000.00 / $9,437.00	Facility		$152.83	$3,000.00	$9,437.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.65 / $159.87 / $260.26	Professional		$119.65	$159.87	$260.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.73 / $96.61 / $175.00	Professional		$83.73	$96.61	$175.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.14 / $123.09 / $323.00	Facility		$121.14	$123.09	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.76 / $176.52 / $288.98	Professional		$123.76	$176.52	$288.98
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 $94.05 / $145.06 / $221.82	Professional		$94.05	$145.06	$221.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $118.45 / $168.30 / $244.92	Professional		$118.45	$168.30	$244.92
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 $134.91 / $173.46 / $299.95	Professional		$134.91	$173.46	$299.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $114.13 / $148.34 / $148.34	Professional		$114.13	$148.34	$148.34