Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $4,897.79 / $10,964.78	Facility		$120.23	$4,897.79	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $93.33 / $173.78	Professional		$52.48	$93.33	$173.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $77.62 / $102.33	Facility		$34.67	$77.62	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $109.65 / $223.87	Professional		$60.26	$109.65	$223.87
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,884.03 / $6,309.57	Facility		$1,905.46	$2,884.03	$6,309.57
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $81.28 / $104.71	Professional		$77.62	$81.28	$104.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $128.82	Professional		$32.36	$33.11	$128.82
United Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $1,584.89 / $3,890.45	Facility		$331.13	$1,584.89	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $97.72 / $186.21	Professional		$52.48	$97.72	$186.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $83.18 / $109.65	Professional		$46.77	$83.18	$109.65