Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.47 / $139.76 / $657.90	Facility		$89.47	$139.76	$657.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.79 / $115.71 / $161.32	Professional		$90.79	$115.71	$161.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $99.84 / $118.56 / $139.55	Professional		$99.84	$118.56	$139.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.37 / $62.23 / $74.08	Facility		$61.37	$62.23	$74.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.22 / $149.05 / $247.95	Professional		$92.22	$149.05	$247.95
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 $61.76 / $123.52 / $157.00	Professional		$61.76	$123.52	$157.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.40 / $142.18 / $216.49	Professional		$103.40	$142.18	$216.49
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 $96.02 / $137.29 / $248.74	Professional		$96.02	$137.29	$248.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.31 / $99.32 / $99.32	Professional		$75.31	$99.32	$99.32