Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.18 / $3,401.00 / $9,032.71	Facility		$142.18	$3,401.00	$9,032.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.53 / $133.11 / $266.91	Professional		$63.53	$133.11	$266.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.55 / $80.45 / $216.87	Professional		$42.55	$80.45	$216.87
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 $80.83 / $162.50 / $337.44	Professional		$80.83	$162.50	$337.44
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 $72.22 / $161.27 / $237.04	Professional		$72.22	$161.27	$237.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $153.56 / $247.48 / $373.50	Professional		$153.56	$247.48	$373.50
United Facility/Professional Facility Modifier Low / Median / High Price $591.00 / $2,671.00 / $6,077.00	Facility		$591.00	$2,671.00	$6,077.00
United Facility/Professional Professional Modifier Low / Median / High Price $137.96 / $215.96 / $415.24	Professional		$137.96	$215.96	$415.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $66.13 / $113.75 / $113.75	Professional		$66.13	$113.75	$113.75