Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.89 / $65.66 / $5,618.00	Facility		$39.89	$65.66	$5,618.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.89 / $63.71 / $98.40	Professional		$39.89	$63.71	$98.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.50 / $90.50 / $90.50	Professional		$90.50	$90.50	$90.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.32 / $63.19 / $75.23	Facility		$62.32	$63.19	$75.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.18 / $84.91 / $152.93	Professional		$48.18	$84.91	$152.93
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 $55.38 / $61.99 / $109.03	Professional		$55.38	$61.99	$109.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.07 / $108.81 / $146.52	Professional		$73.07	$108.81	$146.52
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 $65.88 / $93.49 / $169.11	Professional		$65.88	$93.49	$169.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $38.29 / $67.41 / $67.41	Professional		$38.29	$67.41	$67.41