Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.69 / $3,153.00 / $10,802.00	Facility		$161.69	$3,153.00	$10,802.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.83 / $165.84 / $234.41	Professional		$117.83	$165.84	$234.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $166.21 / $177.94 / $177.94	Professional		$166.21	$177.94	$177.94
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 $116.51 / $184.52 / $302.14	Professional		$116.51	$184.52	$302.14
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 $105.28 / $156.28 / $235.72	Professional		$105.28	$156.28	$235.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $129.23 / $186.31 / $252.64	Professional		$129.23	$186.31	$252.64
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 $141.10 / $186.35 / $342.87	Professional		$141.10	$186.35	$342.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $105.19 / $157.79 / $157.79	Professional		$105.19	$157.79	$157.79