Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.44 / $3,063.00 / $10,632.00	Facility		$134.44	$3,063.00	$10,632.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.72 / $144.44 / $224.69	Professional		$109.72	$144.44	$224.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.28 / $161.96 / $161.97	Professional		$125.28	$161.96	$161.97
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 $112.59 / $165.65 / $272.17	Professional		$112.59	$165.65	$272.17
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $181.17 / $193.25 / $208.95	Facility		$181.17	$193.25	$208.95
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $88.71 / $129.57 / $195.24	Professional		$88.71	$129.57	$195.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.04 / $166.95 / $231.29	Professional		$115.04	$166.95	$231.29
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 $124.16 / $160.09 / $278.81	Professional		$124.16	$160.09	$278.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $95.24 / $128.43 / $128.43	Professional		$95.24	$128.43	$128.43