Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $416.87 / $2,041.74	Facility		$72.44	$416.87	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $93.33 / $218.78	Professional		$48.98	$93.33	$218.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $87.10 / $169.82	Professional		$34.67	$87.10	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $52.48 / $70.79	Facility		$34.67	$52.48	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $85.11 / $151.36	Professional		$44.67	$85.11	$151.36
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,862.09 / $3,162.28	Facility		$1,258.93	$1,862.09	$3,162.28
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $75.86 / $100.00	Professional		$44.67	$75.86	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $114.82	Professional		$32.36	$33.11	$114.82
United Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $1,548.82 / $4,168.69	Facility		$263.03	$1,548.82	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $69.18 / $128.82	Professional		$40.74	$69.18	$128.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $66.07 / $100.00	Professional		$31.62	$66.07	$100.00