Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.35 / $464.70 / $1,029.30	Facility		$55.35	$464.70	$1,029.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.75 / $79.12 / $139.75	Professional		$54.75	$79.12	$139.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.18 / $104.31 / $143.97	Professional		$88.18	$104.31	$143.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.87 / $58.68 / $69.86	Facility		$57.87	$58.68	$69.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.15 / $95.23 / $157.19	Professional		$60.15	$95.23	$157.19
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 $36.92 / $73.84 / $97.89	Professional		$36.92	$73.84	$97.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $106.60 / $160.01	Professional		$75.22	$106.60	$160.01
United Facility/Professional Facility Modifier Low / Median / High Price $321.68 / $1,916.00 / $5,107.00	Facility		$321.68	$1,916.00	$5,107.00
United Facility/Professional Professional Modifier Low / Median / High Price $63.17 / $90.24 / $162.96	Professional		$63.17	$90.24	$162.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $70.20 / $70.20	Professional		$49.28	$70.20	$70.20