Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $342.00 / $3,469.59 / $8,566.48	Facility		$342.00	$3,469.59	$8,566.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.64 / $186.23 / $287.14	Professional		$51.64	$186.23	$287.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.92 / $95.92 / $95.92	Professional		$95.92	$95.92	$95.92
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 $54.01 / $138.58 / $367.49	Professional		$54.01	$138.58	$367.49
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2,515.00 / $4,821.00 / $9,635.00	Facility		$2,515.00	$4,821.00	$9,635.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $105.52 / $148.21 / $235.97	Professional		$105.52	$148.21	$235.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $129.06 / $211.17 / $315.28	Professional		$129.06	$211.17	$315.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,014.00 / $3,611.00 / $8,105.00	Facility		$1,014.00	$3,611.00	$8,105.00
United Facility/Professional Professional Modifier Low / Median / High Price $173.52 / $246.23 / $428.55	Professional		$173.52	$246.23	$428.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $43.66 / $91.32 / $91.32	Professional		$43.66	$91.32	$91.32