Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.77 / $1,115.00 / $9,095.00	Facility		$118.77	$1,115.00	$9,095.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.64 / $118.77 / $177.78	Professional		$89.64	$118.77	$177.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $148.52 / $148.52 / $148.52	Professional		$148.52	$148.52	$148.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.45 / $81.58 / $97.11	Facility		$80.45	$81.58	$97.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.62 / $150.96 / $243.88	Professional		$96.62	$150.96	$243.88
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 $58.07 / $116.13 / $150.47	Professional		$58.07	$116.13	$150.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.35 / $142.70 / $221.39	Professional		$103.35	$142.70	$221.39
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 $96.99 / $135.79 / $254.00	Professional		$96.99	$135.79	$254.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $77.11 / $107.24 / $107.24	Professional		$77.11	$107.24	$107.24