Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.63 / $3,087.00 / $10,802.00	Facility		$147.63	$3,087.00	$10,802.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.16 / $149.97 / $237.46	Professional		$104.16	$149.97	$237.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.22 / $170.47 / $340.63	Professional		$138.22	$170.47	$340.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.14 / $166.70 / $275.24	Professional		$103.14	$166.70	$275.24
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 $95.48 / $140.50 / $215.41	Professional		$95.48	$140.50	$215.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.14 / $165.00 / $242.21	Professional		$112.14	$165.00	$242.21
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 $129.36 / $169.29 / $303.33	Professional		$129.36	$169.29	$303.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $93.45 / $144.51 / $144.51	Professional		$93.45	$144.51	$144.51