Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.88 / $2,919.00 / $10,632.00	Facility		$130.88	$2,919.00	$10,632.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.56 / $130.88 / $235.33	Professional		$65.56	$130.88	$235.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.50 / $136.10 / $221.41	Professional		$67.50	$136.10	$221.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.58 / $123.68 / $406.26	Facility		$68.58	$123.68	$406.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.87 / $164.20 / $316.05	Professional		$75.87	$164.20	$316.05
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $50.91 / $162.25 / $176.31	Facility		$50.91	$162.25	$176.31
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $124.87 / $200.68 / $328.92	Professional		$124.87	$200.68	$328.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $114.79 / $170.07 / $285.16	Professional		$114.79	$170.07	$285.16
United Facility/Professional Facility Modifier Low / Median / High Price $351.00 / $1,916.00 / $4,970.00	Facility		$351.00	$1,916.00	$4,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $137.44 / $201.30 / $380.37	Professional		$137.44	$201.30	$380.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $55.15 / $145.28 / $145.28	Professional		$55.15	$145.28	$145.28