Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.21 / $755.85 / $4,410.00	Facility		$166.21	$755.85	$4,410.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.57 / $95.48 / $160.19	Professional		$50.57	$95.48	$160.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.73 / $103.65 / $103.65	Professional		$65.73	$103.65	$103.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.59 / $99.20 / $172.09	Professional		$52.59	$99.20	$172.09
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 $77.18 / $88.20 / $157.83	Professional		$77.18	$88.20	$157.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.42 / $100.37 / $141.11	Professional		$58.42	$100.37	$141.11
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 $81.28 / $108.34 / $212.54	Professional		$81.28	$108.34	$212.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $44.94 / $87.58 / $87.58	Professional		$44.94	$87.58	$87.58