Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.64 / $1,449.00 / $7,944.00	Facility		$193.64	$1,449.00	$7,944.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.67 / $193.64 / $322.45	Professional		$126.67	$193.64	$322.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $191.57 / $225.38 / $266.32	Professional		$191.57	$225.38	$266.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.55 / $177.01 / $210.72	Facility		$174.55	$177.01	$210.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.19 / $221.12 / $386.71	Professional		$130.19	$221.12	$386.71
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 $127.96 / $195.46 / $298.56	Professional		$127.96	$195.46	$298.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.07 / $186.96 / $289.43	Professional		$31.07	$186.96	$289.43
United Facility/Professional Facility Modifier Low / Median / High Price $366.00 / $1,861.00 / $4,970.00	Facility		$366.00	$1,861.00	$4,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $171.04 / $228.56 / $422.31	Professional		$171.04	$228.56	$422.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $112.34 / $200.68 / $200.68	Professional		$112.34	$200.68	$200.68