Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $3,388.44 / $10,715.19	Facility		$125.89	$3,388.44	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $10.96 / $26.92	Professional		$6.03	$10.96	$26.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $12.88 / $25.70	Professional		$5.37	$12.88	$25.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $34.67	Facility		$12.88	$12.88	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $11.75 / $22.39	Professional		$6.46	$11.75	$22.39
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,819.70 / $3,162.28	Facility		$1,148.15	$1,819.70	$3,162.28
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.72 / $20.89	Professional		$10.00	$10.72	$20.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $15.49 / $33.11	Professional		$6.03	$15.49	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $1,584.89 / $4,168.69	Facility		$263.03	$1,584.89	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $11.22 / $22.91	Professional		$6.31	$11.22	$22.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $5.62 / $10.96	Professional		$5.62	$5.62	$10.96