Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.27 / $1,568.88 / $7,433.00	Facility		$253.27	$1,568.88	$7,433.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.21 / $240.42 / $386.86	Professional		$170.21	$240.42	$386.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $142.41 / $258.41 / $488.39	Professional		$142.41	$258.41	$488.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.13 / $199.90 / $237.98	Facility		$197.13	$199.90	$237.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.67 / $281.67 / $468.62	Professional		$170.67	$281.67	$468.62
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 $155.15 / $228.97 / $359.18	Professional		$155.15	$228.97	$359.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.07 / $232.58 / $363.41	Professional		$31.07	$232.58	$363.41
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 $210.37 / $276.11 / $511.54	Professional		$210.37	$276.11	$511.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $153.71 / $240.52 / $240.52	Professional		$153.71	$240.52	$240.52