Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.54 / $2,843.00 / $10,632.00	Facility		$85.54	$2,843.00	$10,632.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.62 / $92.61 / $143.28	Professional		$72.62	$92.61	$143.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.21 / $57.21 / $65.30	Professional		$57.21	$57.21	$65.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.70 / $75.76 / $90.20	Facility		$74.70	$75.76	$90.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.94 / $130.25 / $208.48	Professional		$84.94	$130.25	$208.48
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2,578.00 / $4,823.00 / $9,635.00	Facility		$2,578.00	$4,823.00	$9,635.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $48.36 / $101.22 / $205.17	Professional		$48.36	$101.22	$205.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.18 / $108.81 / $168.03	Professional		$79.18	$108.81	$168.03
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 $82.13 / $116.66 / $207.22	Professional		$82.13	$116.66	$207.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $69.95 / $96.77 / $96.77	Professional		$69.95	$96.77	$96.77