Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.35 / $3,043.34 / $10,632.00	Facility		$164.35	$3,043.34	$10,632.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.55 / $181.70 / $266.85	Professional		$121.55	$181.70	$266.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.07 / $109.07 / $109.07	Professional		$109.07	$109.07	$109.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.35 / $146.66 / $323.00	Facility		$144.35	$146.66	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.05 / $198.33 / $337.86	Professional		$126.05	$198.33	$337.86
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 $114.32 / $171.97 / $262.95	Professional		$114.32	$171.97	$262.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.03 / $216.72 / $293.72	Professional		$150.03	$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 $157.90 / $204.17 / $360.91	Professional		$157.90	$204.17	$360.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $115.41 / $175.92 / $175.92	Professional		$115.41	$175.92	$175.92