Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.85 / $1,623.00 / $8,471.00	Facility		$102.85	$1,623.00	$8,471.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.50 / $104.36 / $168.53	Professional		$71.50	$104.36	$168.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $110.11 / $121.00 / $227.64	Professional		$110.11	$121.00	$227.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $323.00 / $323.00	Facility		$323.00	$323.00	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.86 / $119.94 / $196.75	Professional		$74.86	$119.94	$196.75
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $50.91 / $54.30 / $58.72	Facility		$50.91	$54.30	$58.72
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $63.07 / $95.28 / $145.87	Professional		$63.07	$95.28	$145.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.80 / $102.93 / $147.76	Professional		$73.80	$102.93	$147.76
United Facility/Professional Facility Modifier Low / Median / High Price $366.00 / $1,925.00 / $4,970.00	Facility		$366.00	$1,925.00	$4,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $91.91 / $120.22 / $210.18	Professional		$91.91	$120.22	$210.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $62.55 / $96.26 / $96.26	Professional		$62.55	$96.26	$96.26