Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.47 / $2,747.00 / $10,632.00	Facility		$138.47	$2,747.00	$10,632.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.55 / $142.03 / $260.64	Professional		$94.55	$142.03	$260.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $130.38 / $161.06 / $310.05	Professional		$130.38	$161.06	$310.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.28 / $152.81 / $258.20	Professional		$94.28	$152.81	$258.20
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 $88.58 / $130.19 / $203.20	Professional		$88.58	$130.19	$203.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.35 / $158.99 / $246.96	Professional		$103.35	$158.99	$246.96
United Facility/Professional Facility Modifier Low / Median / High Price $351.00 / $1,954.00 / $4,970.00	Facility		$351.00	$1,954.00	$4,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $118.25 / $158.99 / $298.81	Professional		$118.25	$158.99	$298.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $85.28 / $136.60 / $136.60	Professional		$85.28	$136.60	$136.60