Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.40 / $2,872.87 / $10,632.00	Facility		$239.40	$2,872.87	$10,632.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.77 / $245.54 / $386.63	Professional		$175.77	$245.54	$386.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.51 / $141.58 / $141.97	Professional		$109.51	$141.58	$141.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.05 / $173.80 / $323.00	Facility		$171.05	$173.80	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.39 / $266.50 / $447.81	Professional		$177.39	$266.50	$447.81
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2,561.00 / $4,821.00 / $9,360.00	Facility		$2,561.00	$4,821.00	$9,360.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $152.40 / $222.88 / $341.34	Professional		$152.40	$222.88	$341.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.07 / $206.75 / $329.64	Professional		$31.07	$206.75	$329.64
United Facility/Professional Facility Modifier Low / Median / High Price $624.00 / $2,671.00 / $4,971.00	Facility		$624.00	$2,671.00	$4,971.00
United Facility/Professional Professional Modifier Low / Median / High Price $210.28 / $272.94 / $479.06	Professional		$210.28	$272.94	$479.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $160.85 / $226.98 / $226.98	Professional		$160.85	$226.98	$226.98