Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.78 / $584.12 / $9,095.00	Facility		$140.78	$584.12	$9,095.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.66 / $151.91 / $250.69	Professional		$91.66	$151.91	$250.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $129.86 / $406.51 / $461.17	Professional		$129.86	$406.51	$461.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.43 / $198.93 / $359.96	Professional		$117.43	$198.93	$359.96
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,146.00 / $1,732.00 / $2,887.00	Facility		$1,146.00	$1,732.00	$2,887.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $120.84 / $142.94 / $255.08	Professional		$120.84	$142.94	$255.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.25 / $201.41 / $289.93	Professional		$137.25	$201.41	$289.93
United Facility/Professional Facility Modifier Low / Median / High Price $345.00 / $1,911.00 / $4,970.00	Facility		$345.00	$1,911.00	$4,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $155.90 / $228.99 / $380.21	Professional		$155.90	$228.99	$380.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $93.45 / $158.30 / $158.30	Professional		$93.45	$158.30	$158.30