Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $645.65 / $6,760.83	Facility		$213.80	$645.65	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $117.49 / $302.00	Professional		$77.62	$117.49	$302.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $100.00 / $158.49	Professional		$67.61	$100.00	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $57.54 / $323.59	Facility		$34.67	$57.54	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $120.23 / $208.93	Professional		$75.86	$120.23	$208.93
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 $66.07 / $81.28 / $162.18	Professional		$66.07	$81.28	$162.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $61.66 / $141.25	Professional		$32.36	$61.66	$141.25
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 $66.07 / $100.00 / $173.78	Professional		$66.07	$100.00	$173.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $79.43 / $107.15	Professional		$61.66	$79.43	$107.15