Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.56 / $2,747.00 / $10,632.00	Facility		$113.56	$2,747.00	$10,632.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.00 / $113.56 / $199.86	Professional		$74.00	$113.56	$199.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $108.44 / $134.04 / $147.19	Professional		$108.44	$134.04	$147.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.45 / $122.69 / $214.04	Professional		$73.45	$122.69	$214.04
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 $72.47 / $107.30 / $169.00	Professional		$72.47	$107.30	$169.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.10 / $118.54 / $170.80	Professional		$78.10	$118.54	$170.80
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 $96.88 / $128.72 / $240.89	Professional		$96.88	$128.72	$240.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.92 / $113.87 / $113.87	Professional		$67.92	$113.87	$113.87