Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.61 / $2,747.00 / $10,086.00	Facility		$225.61	$2,747.00	$10,086.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.85 / $231.40 / $375.74	Professional		$159.85	$231.40	$375.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.98 / $133.03 / $252.46	Professional		$107.98	$133.03	$252.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.97 / $168.64 / $323.00	Facility		$165.97	$168.64	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.43 / $249.16 / $418.85	Professional		$160.43	$249.16	$418.85
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 $141.96 / $206.51 / $320.74	Professional		$141.96	$206.51	$320.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.07 / $206.75 / $327.76	Professional		$31.07	$206.75	$327.76
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 $180.78 / $249.48 / $426.12	Professional		$180.78	$249.48	$426.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $148.60 / $213.96 / $213.96	Professional		$148.60	$213.96	$213.96