Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.34 / $3,258.00 / $10,802.00	Facility		$119.34	$3,258.00	$10,802.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.84 / $119.34 / $172.89	Professional		$80.84	$119.34	$172.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $110.47 / $129.97 / $272.14	Professional		$110.47	$129.97	$272.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.07 / $96.41 / $114.77	Facility		$95.07	$96.41	$114.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.77 / $130.93 / $216.30	Professional		$81.77	$130.93	$216.30
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 $75.95 / $111.13 / $172.17	Professional		$75.95	$111.13	$172.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.02 / $119.66 / $173.11	Professional		$79.02	$119.66	$173.11
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 $101.95 / $134.87 / $235.21	Professional		$101.95	$134.87	$235.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $74.55 / $115.41 / $115.41	Professional		$74.55	$115.41	$115.41