Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $283.82 / $3,258.00 / $10,086.00	Facility		$283.82	$3,258.00	$10,086.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.59 / $278.52 / $413.75	Professional		$197.59	$278.52	$413.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $258.72 / $304.37 / $334.48	Professional		$258.72	$304.37	$334.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $322.70 / $327.88 / $432.00	Facility		$322.70	$327.88	$432.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.48 / $328.99 / $539.22	Professional		$202.48	$328.99	$539.22
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 $167.72 / $256.50 / $403.20	Professional		$167.72	$256.50	$403.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.48 / $280.14 / $416.04	Professional		$31.48	$280.14	$416.04
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 $239.33 / $322.79 / $558.17	Professional		$239.33	$322.79	$558.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $176.94 / $269.88 / $269.88	Professional		$176.94	$269.88	$269.88