Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.51 / $2,948.00 / $10,086.00	Facility		$189.51	$2,948.00	$10,086.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.16 / $214.72 / $296.12	Professional		$179.16	$214.72	$296.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $215.77 / $223.45 / $285.33	Professional		$215.77	$223.45	$285.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.64 / $126.64 / $323.00	Facility		$124.64	$126.64	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.41 / $279.02 / $441.19	Professional		$178.41	$279.02	$441.19
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 $99.58 / $208.42 / $345.71	Professional		$99.58	$208.42	$345.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.44 / $179.71 / $307.65	Professional		$65.44	$179.71	$307.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,954.00 / $5,887.00 / $9,684.00	Facility		$1,954.00	$5,887.00	$9,684.00
United Facility/Professional Professional Modifier Low / Median / High Price $171.71 / $238.57 / $436.58	Professional		$171.71	$238.57	$436.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $163.15 / $182.30 / $182.30	Professional		$163.15	$182.30	$182.30