Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.16 / $3,063.00 / $11,550.00	Facility		$205.16	$3,063.00	$11,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.76 / $32.75 / $62.90	Professional		$29.76	$32.75	$62.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.64 / $55.63 / $55.63	Professional		$35.64	$55.63	$55.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.01 / $123.98 / $323.00	Facility		$122.01	$123.98	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.40 / $47.38 / $73.31	Professional		$30.40	$47.38	$73.31
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,438.00 / $2,394.00 / $4,243.00	Facility		$1,438.00	$2,394.00	$4,243.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $23.76 / $25.46 / $70.59	Professional		$23.76	$25.46	$70.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.92 / $38.71 / $51.67	Professional		$25.92	$38.71	$51.67
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 $28.45 / $40.93 / $71.55	Professional		$28.45	$40.93	$71.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Professional		$26.30	$26.30	$26.30