Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $426.58 / $1,288.25	Facility		$70.79	$426.58	$1,288.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $87.10 / $204.17	Professional		$57.54	$87.10	$204.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $87.10 / $138.04	Professional		$67.61	$87.10	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $50.12 / $100.00	Facility		$34.67	$50.12	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $89.13 / $154.88	Professional		$56.23	$89.13	$154.88
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,454.71 / $4,168.69	Facility		$1,513.56	$2,454.71	$4,168.69
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $69.18 / $91.20	Professional		$45.71	$69.18	$91.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $47.86 / $112.20	Professional		$32.36	$47.86	$112.20
United Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $1,584.89 / $4,168.69	Facility		$269.15	$1,584.89	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $74.13 / $128.82	Professional		$48.98	$74.13	$128.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $64.57 / $91.20	Professional		$45.71	$64.57	$91.20