Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.38 / $2,203.00 / $9,450.00	Facility		$302.38	$2,203.00	$9,450.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.66 / $304.93 / $456.00	Professional		$209.66	$304.93	$456.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $167.22 / $284.27 / $425.67	Professional		$167.22	$284.27	$425.67
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 $214.04 / $357.11 / $595.05	Professional		$214.04	$357.11	$595.05
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 $185.75 / $289.27 / $443.03	Professional		$185.75	$289.27	$443.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.21 / $307.49 / $444.89	Professional		$33.21	$307.49	$444.89
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 $269.25 / $350.32 / $612.51	Professional		$269.25	$350.32	$612.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $185.88 / $295.67 / $295.67	Professional		$185.88	$295.67	$295.67