Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.57 / $2,829.92 / $10,086.00	Facility		$184.57	$2,829.92	$10,086.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.83 / $184.57 / $300.64	Professional		$112.83	$184.57	$300.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.31 / $107.31 / $128.77	Professional		$107.31	$107.31	$128.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.09 / $161.37 / $327.70	Professional		$97.09	$161.37	$327.70
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 $97.11 / $121.49 / $233.27	Professional		$97.11	$121.49	$233.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.48 / $136.55 / $187.31	Professional		$95.48	$136.55	$187.31
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 $112.33 / $170.41 / $288.76	Professional		$112.33	$170.41	$288.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $79.15 / $108.51 / $108.51	Professional		$79.15	$108.51	$108.51