Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.91 / $732.18 / $8,269.00	Facility		$165.91	$732.18	$8,269.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.78 / $98.07 / $259.62	Professional		$59.78	$98.07	$259.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.33 / $71.33 / $109.96	Professional		$71.33	$71.33	$109.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.12 / $88.34 / $105.17	Facility		$87.12	$88.34	$105.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.98 / $120.23 / $215.30	Professional		$68.98	$120.23	$215.30
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 $78.34 / $90.63 / $159.41	Professional		$78.34	$90.63	$159.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $96.75 / $145.20 / $196.16	Professional		$96.75	$145.20	$196.16
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 $92.20 / $138.91 / $248.29	Professional		$92.20	$138.91	$248.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $53.36 / $97.79 / $97.79	Professional		$53.36	$97.79	$97.79