Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.70 / $3,279.00 / $11,550.00	Facility		$119.70	$3,279.00	$11,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.47 / $110.73 / $173.41	Professional		$59.47	$110.73	$173.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.31 / $114.31 / $114.31	Professional		$114.31	$114.31	$114.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $705.99 / $840.46	Facility		$323.00	$705.99	$840.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.95 / $136.36 / $260.58	Professional		$69.95	$136.36	$260.58
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2,538.00 / $4,818.00 / $9,282.00	Facility		$2,538.00	$4,818.00	$9,282.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $97.95 / $105.44 / $185.46	Professional		$97.95	$105.44	$185.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.45 / $145.20 / $202.95	Professional		$97.45	$145.20	$202.95
United Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,611.00 / $8,105.00	Facility		$803.00	$3,611.00	$8,105.00
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $173.33 / $307.88	Professional		$117.49	$173.33	$307.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $52.34 / $111.83 / $111.83	Professional		$52.34	$111.83	$111.83