Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.12 / $3,258.00 / $10,802.00	Facility		$164.12	$3,258.00	$10,802.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.84 / $168.33 / $241.35	Professional		$117.84	$168.33	$241.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.93 / $181.01 / $189.67	Professional		$76.93	$181.01	$189.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.55 / $128.32 / $152.77	Facility		$126.55	$128.32	$152.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.80 / $187.02 / $307.14	Professional		$116.80	$187.02	$307.14
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 $106.81 / $157.01 / $239.78	Professional		$106.81	$157.01	$239.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $129.23 / $186.31 / $253.85	Professional		$129.23	$186.31	$253.85
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 $144.97 / $190.59 / $340.57	Professional		$144.97	$190.59	$340.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $105.70 / $160.60 / $160.60	Professional		$105.70	$160.60	$160.60