Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.80 / $3,276.00 / $11,550.00	Facility		$114.80	$3,276.00	$11,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.71 / $123.96 / $174.72	Professional		$101.71	$123.96	$174.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.93 / $169.59 / $323.60	Professional		$123.93	$169.59	$323.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.73 / $128.77 / $323.00	Facility		$126.73	$128.77	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.44 / $160.19 / $248.36	Professional		$108.44	$160.19	$248.36
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,438.00 / $2,406.00 / $4,309.00	Facility		$1,438.00	$2,406.00	$4,309.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $54.67 / $109.34 / $145.38	Professional		$54.67	$109.34	$145.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.86 / $144.90 / $224.39	Professional		$109.86	$144.90	$224.39
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 $93.44 / $133.49 / $241.55	Professional		$93.44	$133.49	$241.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $102.90 / $102.90 / $115.95	Professional		$102.90	$102.90	$115.95