Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $3,090.30 / $8,128.31	Facility		$549.54	$3,090.30	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $263.03 / $537.03	Professional		$190.55	$263.03	$537.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $275.42 / $549.54	Professional		$165.96	$275.42	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $128.82 / $389.05	Facility		$125.89	$128.82	$389.05
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $275.42 / $275.42 / $275.42	Facility	54	$275.42	$275.42	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $281.84 / $446.68	Professional		$186.21	$281.84	$446.68
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,454.71 / $4,168.69	Facility		$1,513.56	$2,454.71	$4,168.69
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $194.98 / $263.03	Professional		$112.20	$194.98	$263.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $199.53 / $363.08	Professional		$32.36	$199.53	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $1,584.89 / $4,168.69	Facility		$269.15	$1,584.89	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $218.78 / $398.11	Professional		$158.49	$218.78	$398.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $186.21 / $263.03	Professional		$181.97	$186.21	$263.03