Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.02 / $3,000.00 / $9,568.62	Facility		$115.02	$3,000.00	$9,568.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.68 / $115.02 / $191.29	Professional		$72.68	$115.02	$191.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $146.01 / $146.01 / $146.01	Professional		$146.01	$146.01	$146.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $977.92 / $1,164.19	Facility		$323.00	$977.92	$1,164.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.70 / $127.45 / $214.29	Professional		$72.70	$127.45	$214.29
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $3,122.00 / $5,731.00 / $11,037.00	Facility		$3,122.00	$5,731.00	$11,037.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $79.93 / $116.84 / $176.06	Professional		$79.93	$116.84	$176.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $86.85 / $161.53 / $219.90	Professional		$86.85	$161.53	$219.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,014.00 / $3,611.00 / $8,105.00	Facility		$1,014.00	$3,611.00	$8,105.00
United Facility/Professional Professional Modifier Low / Median / High Price $107.73 / $139.34 / $242.73	Professional		$107.73	$139.34	$242.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $64.34 / $117.19 / $117.19	Professional		$64.34	$117.19	$117.19