Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.53 / $143.28 / $794.00	Facility		$59.53	$143.28	$794.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.53 / $82.67 / $125.69	Professional		$59.53	$82.67	$125.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.68 / $110.41 / $143.91	Professional		$97.68	$110.41	$143.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.96 / $63.84 / $76.00	Facility		$62.96	$63.84	$76.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.38 / $102.00 / $169.73	Professional		$65.38	$102.00	$169.73
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,146.00 / $1,735.00 / $3,029.00	Facility		$1,146.00	$1,735.00	$3,029.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $38.99 / $77.76 / $106.92	Professional		$38.99	$77.76	$106.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.52 / $107.13 / $164.38	Professional		$77.52	$107.13	$164.38
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 $67.70 / $95.63 / $170.33	Professional		$67.70	$95.63	$170.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $52.85 / $76.84 / $76.84	Professional		$52.85	$76.84	$76.84