Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $512.86 / $5,495.41	Facility		$117.49	$512.86	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $79.43 / $190.55	Professional		$47.86	$79.43	$190.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $63.10 / $91.20	Professional		$39.81	$63.10	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $93.33 / $323.59	Facility		$34.67	$93.33	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $77.62 / $131.83	Professional		$47.86	$77.62	$131.83
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,454.71 / $4,168.69	Facility		$1,513.56	$2,454.71	$4,168.69
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $69.18 / $104.71	Professional		$64.57	$69.18	$104.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $66.07 / $128.82	Professional		$32.36	$66.07	$128.82
United Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $1,584.89 / $4,168.69	Facility		$263.03	$1,584.89	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $66.07 / $120.23	Professional		$43.65	$66.07	$120.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $66.07	Professional		$42.66	$42.66	$66.07