Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.43 / $668.16 / $4,794.00	Facility		$182.43	$668.16	$4,794.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.04 / $80.84 / $142.09	Professional		$39.04	$80.84	$142.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $80.81 / $90.85	Professional		$50.00	$80.81	$90.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.24 / $80.58 / $153.57	Professional		$40.24	$80.58	$153.57
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 $63.07 / $77.98 / $148.30	Professional		$63.07	$77.98	$148.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.47 / $96.91 / $134.73	Professional		$44.47	$96.91	$134.73
United Facility/Professional Facility Modifier Low / Median / High Price $366.00 / $1,916.00 / $4,970.00	Facility		$366.00	$1,916.00	$4,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $65.18 / $88.45 / $176.67	Professional		$65.18	$88.45	$176.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $34.21 / $72.00 / $72.00	Professional		$34.21	$72.00	$72.00