Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.96 / $3,401.00 / $10,086.00	Facility		$125.96	$3,401.00	$10,086.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.45 / $120.53 / $199.61	Professional		$80.45	$120.53	$199.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.89 / $91.09 / $99.47	Professional		$82.89	$91.09	$99.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.42 / $117.38 / $231.44	Professional		$69.42	$117.38	$231.44
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,752.00 / $2,882.00 / $6,066.00	Facility		$1,752.00	$2,882.00	$6,066.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $75.01 / $85.73 / $150.97	Professional		$75.01	$85.73	$150.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.57 / $101.36 / $140.90	Professional		$69.57	$101.36	$140.90
United Facility/Professional Facility Modifier Low / Median / High Price $366.00 / $1,950.00 / $4,970.00	Facility		$366.00	$1,950.00	$4,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $90.95 / $123.81 / $221.77	Professional		$90.95	$123.81	$221.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $55.66 / $84.51 / $84.51	Professional		$55.66	$84.51	$84.51