Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.88 / $1,203.00 / $6,930.00	Facility		$148.88	$1,203.00	$6,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.81 / $205.26 / $378.65	Professional		$118.81	$205.26	$378.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.45 / $187.53 / $538.89	Professional		$69.45	$187.53	$538.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.95 / $106.42 / $126.70	Facility		$104.95	$106.42	$126.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.26 / $273.14 / $491.67	Professional		$136.26	$273.14	$491.67
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,438.00 / $2,403.00 / $4,241.00	Facility		$1,438.00	$2,403.00	$4,241.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $105.63 / $219.19 / $348.98	Professional		$105.63	$219.19	$348.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.30 / $271.23 / $452.65	Professional		$32.30	$271.23	$452.65
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 $191.73 / $278.94 / $519.62	Professional		$191.73	$278.94	$519.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $110.04 / $256.35 / $256.35	Professional		$110.04	$256.35	$256.35