Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.95 / $3,276.00 / $11,009.55	Facility		$208.95	$3,276.00	$11,009.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.50 / $216.59 / $317.45	Professional		$149.50	$216.59	$317.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $116.24 / $134.18 / $268.25	Professional		$116.24	$134.18	$268.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.16 / $164.77 / $323.00	Facility		$162.16	$164.77	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.03 / $243.06 / $399.83	Professional		$155.03	$243.06	$399.83
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 $137.93 / $204.38 / $307.97	Professional		$137.93	$204.38	$307.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.21 / $212.39 / $320.03	Professional		$33.21	$212.39	$320.03
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 $190.48 / $245.57 / $424.64	Professional		$190.48	$245.57	$424.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $139.91 / $205.54 / $205.54	Professional		$139.91	$205.54	$205.54