Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.69 / $2,324.00 / $9,639.00	Facility		$209.69	$2,324.00	$9,639.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.45 / $199.29 / $301.77	Professional		$115.45	$199.29	$301.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.16 / $134.05 / $388.62	Professional		$97.16	$134.05	$388.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $155.80 / $158.30 / $323.00	Facility		$155.80	$158.30	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.57 / $227.66 / $428.51	Professional		$126.57	$227.66	$428.51
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2,104.00 / $3,151.00 / $7,541.00	Facility		$2,104.00	$3,151.00	$7,541.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $101.62 / $210.96 / $260.79	Professional		$101.62	$210.96	$260.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $166.28 / $235.81 / $351.67	Professional		$166.28	$235.81	$351.67
United Facility/Professional Facility Modifier Low / Median / High Price $591.00 / $2,671.00 / $5,015.00	Facility		$591.00	$2,671.00	$5,015.00
United Facility/Professional Professional Modifier Low / Median / High Price $178.87 / $250.42 / $443.09	Professional		$178.87	$250.42	$443.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $102.64 / $181.54 / $181.54	Professional		$102.64	$181.54	$181.54