Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $3,235.94 / $9,120.11	Facility		$549.54	$3,235.94	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $107.15 / $218.78	Professional		$69.18	$107.15	$218.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $100.00 / $165.96	Professional		$75.86	$100.00	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $81.28 / $323.59	Facility		$34.67	$81.28	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $120.23 / $199.53	Professional		$75.86	$120.23	$199.53
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,511.89 / $4,365.16	Facility		$1,548.82	$2,511.89	$4,365.16
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $95.50 / $125.89	Professional		$56.23	$95.50	$125.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $57.54 / $151.36	Professional		$32.36	$57.54	$151.36
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 $63.10 / $95.50 / $169.82	Professional		$63.10	$95.50	$169.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $91.20 / $128.82	Professional		$61.66	$91.20	$128.82