Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.08 / $158.66 / $570.00	Facility		$97.08	$158.66	$570.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.75 / $125.92 / $182.75	Professional		$98.75	$125.92	$182.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $467.83 / $467.83 / $935.67	Professional		$467.83	$467.83	$935.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.40 / $68.34 / $81.37	Facility		$67.40	$68.34	$81.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.38 / $164.29 / $264.58	Professional		$106.38	$164.29	$264.58
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 $64.03 / $99.19 / $157.93	Professional		$64.03	$99.19	$157.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.90 / $142.82 / $223.88	Professional		$104.90	$142.82	$223.88
United Facility/Professional Facility Modifier Low / Median / High Price $351.00 / $1,986.00 / $5,259.00	Facility		$351.00	$1,986.00	$5,259.00
United Facility/Professional Professional Modifier Low / Median / High Price $107.27 / $152.08 / $270.43	Professional		$107.27	$152.08	$270.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $85.79 / $112.60 / $112.60	Professional		$85.79	$112.60	$112.60