Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.37 / $3,153.00 / $10,802.00	Facility		$162.37	$3,153.00	$10,802.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.11 / $162.41 / $235.23	Professional		$112.11	$162.41	$235.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $179.15 / $179.15 / $179.15	Professional		$179.15	$179.15	$179.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.13 / $129.94 / $154.69	Facility		$128.13	$129.94	$154.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.90 / $182.10 / $299.29	Professional		$110.90	$182.10	$299.29
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,752.00 / $2,882.00 / $6,066.00	Facility		$1,752.00	$2,882.00	$6,066.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $104.70 / $154.87 / $237.32	Professional		$104.70	$154.87	$237.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $129.23 / $186.31 / $252.64	Professional		$129.23	$186.31	$252.64
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 $141.19 / $185.72 / $332.76	Professional		$141.19	$185.72	$332.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $101.11 / $159.07 / $159.07	Professional		$101.11	$159.07	$159.07