Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.36 / $1,301.00 / $8,146.00	Facility		$187.36	$1,301.00	$8,146.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.69 / $193.04 / $332.77	Professional		$128.69	$193.04	$332.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $245.04 / $425.76	Professional		$200.00	$245.04	$425.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.41 / $179.91 / $214.17	Facility		$177.41	$179.91	$214.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.25 / $221.58 / $386.47	Professional		$129.25	$221.58	$386.47
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 $122.44 / $187.26 / $296.24	Professional		$122.44	$187.26	$296.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.21 / $210.88 / $317.58	Professional		$33.21	$210.88	$317.58
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 $167.11 / $222.56 / $399.19	Professional		$167.11	$222.56	$399.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $116.68 / $199.66 / $199.66	Professional		$116.68	$199.66	$199.66