Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.48 / $511.50 / $1,084.88	Facility		$71.48	$511.50	$1,084.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.10 / $83.54 / $146.69	Professional		$60.10	$83.54	$146.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $96.47 / $114.29 / $628.12	Professional		$96.47	$114.29	$628.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.27 / $64.16 / $76.38	Facility		$63.27	$64.16	$76.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.66 / $103.69 / $171.16	Professional		$66.66	$103.69	$171.16
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,438.00 / $2,403.00 / $4,241.00	Facility		$1,438.00	$2,403.00	$4,241.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $40.03 / $80.05 / $107.26	Professional		$40.03	$80.05	$107.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.52 / $107.36 / $164.82	Professional		$77.52	$107.36	$164.82
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 $68.20 / $97.19 / $174.48	Professional		$68.20	$97.19	$174.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $53.11 / $77.11 / $77.11	Professional		$53.11	$77.11	$77.11