Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.28 / $3,241.00 / $10,802.00	Facility		$194.28	$3,241.00	$10,802.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.55 / $194.28 / $273.79	Professional		$147.55	$194.28	$273.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $211.63 / $211.63 / $211.63	Professional		$211.63	$211.63	$211.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.31 / $140.25 / $166.97	Facility		$138.31	$140.25	$166.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.09 / $225.47 / $364.29	Professional		$145.09	$225.47	$364.29
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 $127.52 / $186.05 / $280.35	Professional		$127.52	$186.05	$280.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.17 / $203.51 / $289.51	Professional		$144.17	$203.51	$289.51
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 $172.24 / $216.97 / $383.73	Professional		$172.24	$216.97	$383.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $131.24 / $186.90 / $186.90	Professional		$131.24	$186.90	$186.90