Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.00 / $549.27 / $5,620.00	Facility		$102.00	$549.27	$5,620.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.27 / $93.39 / $168.99	Professional		$48.27	$93.39	$168.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.18 / $31.18 / $31.18	Professional		$31.18	$31.18	$31.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.92 / $96.61 / $174.59	Professional		$51.92	$96.61	$174.59
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 $75.69 / $86.50 / $157.88	Professional		$75.69	$86.50	$157.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.43 / $98.78 / $141.11	Professional		$55.43	$98.78	$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 $79.58 / $107.12 / $193.71	Professional		$79.58	$107.12	$193.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $42.64 / $86.04 / $86.04	Professional		$42.64	$86.04	$86.04