Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.29 / $2,747.00 / $10,485.00	Facility		$187.29	$2,747.00	$10,485.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.72 / $196.08 / $311.37	Professional		$132.72	$196.08	$311.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.78 / $115.61 / $212.41	Professional		$89.78	$115.61	$212.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.57 / $156.04 / $323.00	Facility		$153.57	$156.04	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.34 / $214.63 / $361.70	Professional		$135.34	$214.63	$361.70
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,752.00 / $2,882.00 / $6,066.00	Facility		$1,752.00	$2,882.00	$6,066.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $124.29 / $182.75 / $279.85	Professional		$124.29	$182.75	$279.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $155.05 / $217.53 / $298.62	Professional		$155.05	$217.53	$298.62
United Facility/Professional Facility Modifier Low / Median / High Price $351.00 / $1,916.00 / $4,970.00	Facility		$351.00	$1,916.00	$4,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $170.16 / $223.34 / $400.17	Professional		$170.16	$223.34	$400.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $124.34 / $187.66 / $187.66	Professional		$124.34	$187.66	$187.66