Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.41 / $1,026.00 / $6,763.00	Facility		$147.41	$1,026.00	$6,763.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.55 / $109.47 / $167.02	Professional		$62.55	$109.47	$167.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.95 / $81.95 / $81.95	Professional		$81.95	$81.95	$81.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.22 / $118.93 / $200.69	Professional		$65.22	$118.93	$200.69
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 $90.22 / $103.11 / $186.37	Professional		$90.22	$103.11	$186.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.90 / $102.82 / $152.80	Professional		$69.90	$102.82	$152.80
United Facility/Professional Facility Modifier Low / Median / High Price $270.00 / $1,861.00 / $4,970.00	Facility		$270.00	$1,861.00	$4,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $94.40 / $126.51 / $229.60	Professional		$94.40	$126.51	$229.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $55.92 / $101.87 / $101.87	Professional		$55.92	$101.87	$101.87