Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.59 / $2,919.00 / $10,632.00	Facility		$97.59	$2,919.00	$10,632.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.63 / $94.95 / $162.76	Professional		$50.63	$94.95	$162.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $106.25 / $114.74 / $218.95	Professional		$106.25	$114.74	$218.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.81 / $73.98 / $323.00	Facility		$72.81	$73.98	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.16 / $105.38 / $189.60	Professional		$55.16	$105.38	$189.60
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2,104.00 / $3,151.00 / $7,224.00	Facility		$2,104.00	$3,151.00	$7,224.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $65.54 / $90.06 / $138.40	Professional		$65.54	$90.06	$138.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.38 / $100.86 / $145.28	Professional		$62.38	$100.86	$145.28
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 $87.66 / $112.86 / $204.31	Professional		$87.66	$112.86	$204.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $46.21 / $92.94 / $92.94	Professional		$46.21	$92.94	$92.94