Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.13 / $3,087.00 / $10,802.00	Facility		$151.13	$3,087.00	$10,802.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.46 / $155.00 / $241.68	Professional		$104.46	$155.00	$241.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $155.54 / $166.52 / $349.02	Professional		$155.54	$166.52	$349.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.99 / $169.74 / $279.58	Professional		$103.99	$169.74	$279.58
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 $97.77 / $143.88 / $220.59	Professional		$97.77	$143.88	$220.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $165.62 / $242.27	Professional		$112.20	$165.62	$242.27
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 $133.32 / $173.32 / $303.41	Professional		$133.32	$173.32	$303.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $94.21 / $148.09 / $148.09	Professional		$94.21	$148.09	$148.09