Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.59 / $3,258.00 / $10,802.00	Facility		$75.59	$3,258.00	$10,802.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.32 / $79.45 / $119.69	Professional		$57.32	$79.45	$119.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $86.25 / $94.78	Professional		$73.31	$86.25	$94.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.11 / $89.32 / $147.66	Professional		$59.11	$89.32	$147.66
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,438.00 / $2,394.00 / $4,243.00	Facility		$1,438.00	$2,394.00	$4,243.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $48.47 / $74.55 / $114.26	Professional		$48.47	$74.55	$114.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.40 / $99.32 / $137.97	Professional		$67.40	$99.32	$137.97
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 $66.03 / $86.68 / $152.66	Professional		$66.03	$86.68	$152.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $54.64 / $76.59 / $76.59	Professional		$54.64	$76.59	$76.59