Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.04 / $3,087.00 / $10,802.00	Facility		$171.04	$3,087.00	$10,802.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.78 / $180.77 / $281.66	Professional		$120.78	$180.77	$281.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.53 / $207.03 / $217.38	Professional		$98.53	$207.03	$217.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.03 / $146.35 / $323.00	Facility		$144.03	$146.35	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.02 / $198.57 / $336.13	Professional		$125.02	$198.57	$336.13
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 $113.37 / $170.63 / $261.05	Professional		$113.37	$170.63	$261.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $149.05 / $216.72 / $293.72	Professional		$149.05	$216.72	$293.72
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 $156.54 / $207.62 / $358.98	Professional		$156.54	$207.62	$358.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $114.39 / $174.90 / $174.90	Professional		$114.39	$174.90	$174.90