Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.40 / $1,026.00 / $8,988.00	Facility		$45.40	$1,026.00	$8,988.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.94 / $45.40 / $88.48	Professional		$25.94	$45.40	$88.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.94 / $54.16 / $93.32	Professional		$43.94	$54.16	$93.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.88 / $46.41 / $80.50	Professional		$25.88	$46.41	$80.50
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,438.00 / $2,394.00 / $4,243.00	Facility		$1,438.00	$2,394.00	$4,243.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $28.55 / $42.85 / $65.29	Professional		$28.55	$42.85	$65.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.33 / $64.62 / $85.70	Professional		$30.33	$64.62	$85.70
United Facility/Professional Facility Modifier Low / Median / High Price $270.00 / $1,911.00 / $4,970.00	Facility		$270.00	$1,911.00	$4,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $38.56 / $50.67 / $87.43	Professional		$38.56	$50.67	$87.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.47 / $43.92 / $43.92	Professional		$22.47	$43.92	$43.92