Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.45 / $3,276.00 / $11,550.00	Facility		$254.45	$3,276.00	$11,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.69 / $264.98 / $398.53	Professional		$192.69	$264.98	$398.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.03 / $138.03 / $304.39	Professional		$138.03	$138.03	$304.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.74 / $180.60 / $323.00	Facility		$177.74	$180.60	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.93 / $293.69 / $478.16	Professional		$193.93	$293.69	$478.16
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 $164.13 / $242.70 / $365.70	Professional		$164.13	$242.70	$365.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.21 / $248.64 / $364.57	Professional		$33.21	$248.64	$364.57
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 $223.88 / $291.08 / $502.90	Professional		$223.88	$291.08	$502.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $175.15 / $242.30 / $242.30	Professional		$175.15	$242.30	$242.30