Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.81 / $2,948.00 / $11,550.00	Facility		$184.81	$2,948.00	$11,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.41 / $184.81 / $388.79	Professional		$88.41	$184.81	$388.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $264.87 / $264.87 / $264.87	Professional		$264.87	$264.87	$264.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.58 / $69.68 / $323.00	Facility		$68.58	$69.68	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.19 / $229.45 / $518.20	Professional		$105.19	$229.45	$518.20
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 $163.40 / $227.47 / $427.35	Professional		$163.40	$227.47	$427.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $240.76 / $363.49 / $493.25	Professional		$240.76	$363.49	$493.25
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 $210.19 / $347.33 / $654.67	Professional		$210.19	$347.33	$654.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.45 / $264.52 / $264.52	Professional		$81.45	$264.52	$264.52