Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.69 / $2,032.00 / $8,269.00	Facility		$245.69	$2,032.00	$8,269.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.16 / $254.28 / $422.01	Professional		$173.16	$254.28	$422.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $287.70 / $304.14 / $518.23	Professional		$287.70	$304.14	$518.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.74 / $214.12 / $432.00	Facility		$210.74	$214.12	$432.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.42 / $290.93 / $496.32	Professional		$175.42	$290.93	$496.32
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 $155.94 / $238.49 / $381.13	Professional		$155.94	$238.49	$381.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.26 / $261.27 / $401.09	Professional		$33.26	$261.27	$401.09
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 $214.20 / $287.60 / $511.74	Professional		$214.20	$287.60	$511.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $158.05 / $255.07 / $255.07	Professional		$158.05	$255.07	$255.07