Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.69 / $3,153.00 / $10,632.00	Facility		$147.69	$3,153.00	$10,632.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.98 / $179.65 / $284.68	Professional		$95.98	$179.65	$284.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.47 / $89.47 / $89.47	Professional		$89.47	$89.47	$89.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.16 / $94.66 / $323.00	Facility		$93.16	$94.66	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.97 / $212.76 / $445.65	Professional		$97.97	$212.76	$445.65
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2,578.00 / $4,823.00 / $9,635.00	Facility		$2,578.00	$4,823.00	$9,635.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $112.29 / $172.35 / $266.35	Professional		$112.29	$172.35	$266.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $124.72 / $177.69 / $269.35	Professional		$124.72	$177.69	$269.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,014.00 / $3,611.00 / $8,105.00	Facility		$1,014.00	$3,611.00	$8,105.00
United Facility/Professional Professional Modifier Low / Median / High Price $195.85 / $270.73 / $486.27	Professional		$195.85	$270.73	$486.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $73.53 / $129.96 / $129.96	Professional		$73.53	$129.96	$129.96