Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.00 / $3,783.00 / $12,444.00	Facility		$156.00	$3,783.00	$12,444.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.10 / $141.76 / $214.67	Professional		$126.10	$141.76	$214.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $163.69 / $190.85 / $262.20	Professional		$163.69	$190.85	$262.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $323.00 / $323.00	Facility		$323.00	$323.00	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.06 / $190.75 / $307.81	Professional		$124.06	$190.75	$307.81
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,196.00 / $2,689.00 / $6,584.00	Facility		$1,196.00	$2,689.00	$6,584.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $70.56 / $141.12 / $173.33	Professional		$70.56	$141.12	$173.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $147.56 / $194.24 / $287.23	Professional		$147.56	$194.24	$287.23
United Facility/Professional Facility Modifier Low / Median / High Price $366.00 / $1,950.00 / $5,107.00	Facility		$366.00	$1,950.00	$5,107.00
United Facility/Professional Professional Modifier Low / Median / High Price $114.19 / $160.97 / $283.66	Professional		$114.19	$160.97	$283.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $110.56 / $110.56 / $143.57	Professional		$110.56	$110.56	$143.57