Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.15 / $3,241.00 / $10,802.00	Facility		$129.15	$3,241.00	$10,802.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.60 / $132.12 / $209.63	Professional		$89.60	$132.12	$209.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $122.25 / $143.82 / $301.51	Professional		$122.25	$143.82	$301.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.95 / $106.42 / $126.70	Facility		$104.95	$106.42	$126.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.91 / $143.97 / $239.88	Professional		$89.91	$143.97	$239.88
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 $83.82 / $124.25 / $190.52	Professional		$83.82	$124.25	$190.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.35 / $149.51 / $209.54	Professional		$103.35	$149.51	$209.54
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 $113.96 / $147.86 / $268.14	Professional		$113.96	$147.86	$268.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.45 / $127.92 / $127.92	Professional		$81.45	$127.92	$127.92