Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $3,388.44 / $9,332.54	Facility		$104.71	$3,388.44	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $128.82 / $251.19	Professional		$97.72	$128.82	$251.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $52.48 / $100.00	Professional		$50.12	$52.48	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,380.38 / $2,290.87	Facility		$199.53	$1,380.38	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $158.49 / $295.12	Professional		$102.33	$158.49	$295.12
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $12,022.64 / $22,908.68	Facility		$6,165.95	$12,022.64	$22,908.68
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $81.28 / $120.23	Professional		$75.86	$81.28	$120.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $158.49	Professional		$32.36	$33.11	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $5,623.41 / $9,772.37	Facility		$1,737.80	$5,623.41	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $138.04 / $239.88	Professional		$93.33	$138.04	$239.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $109.65	Professional		$91.20	$91.20	$109.65