Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.48 / $449.82 / $6,977.00	Facility		$67.48	$449.82	$6,977.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.71 / $62.69 / $135.08	Professional		$30.71	$62.69	$135.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.25 / $63.89 / $72.25	Professional		$28.25	$63.89	$72.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.98 / $63.88 / $122.37	Professional		$31.98	$63.88	$122.37
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,424.00 / $2,394.00 / $4,241.00	Facility		$1,424.00	$2,394.00	$4,241.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $36.97 / $59.55 / $95.71	Professional		$36.97	$59.55	$95.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $96.91 / $128.94	Professional		$37.50	$96.91	$128.94
United Facility/Professional Facility Modifier Low / Median / High Price $366.00 / $1,950.00 / $4,970.00	Facility		$366.00	$1,950.00	$4,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $56.20 / $74.75 / $131.63	Professional		$56.20	$74.75	$131.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.85 / $64.84 / $64.84	Professional		$28.85	$64.84	$64.84