Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.43 / $3,063.00 / $10,802.00	Facility		$111.43	$3,063.00	$10,802.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.56 / $111.30 / $161.41	Professional		$73.56	$111.30	$161.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $103.27 / $103.27 / $103.27	Professional		$103.27	$103.27	$103.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.19 / $120.05 / $204.38	Professional		$73.19	$120.05	$204.38
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 $70.75 / $103.59 / $160.93	Professional		$70.75	$103.59	$160.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.80 / $117.81 / $167.94	Professional		$77.80	$117.81	$167.94
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 $97.08 / $126.29 / $215.90	Professional		$97.08	$126.29	$215.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.66 / $108.26 / $108.26	Professional		$67.66	$108.26	$108.26