Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.15 / $5,839.00 / $11,576.00	Facility		$146.15	$5,839.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.55 / $147.83 / $214.76	Professional		$137.55	$147.83	$214.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $242.10 / $242.10 / $242.10	Professional		$242.10	$242.10	$242.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $400.00 / $10,000.00	Facility		$323.00	$400.00	$10,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.80 / $213.94 / $338.48	Professional		$139.80	$213.94	$338.48
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $9,460.00 / $21,065.00 / $32,051.00	Facility		$9,460.00	$21,065.00	$32,051.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $112.98 / $121.05 / $244.13	Professional		$112.98	$121.05	$244.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.96 / $199.40 / $248.15	Professional		$150.96	$199.40	$248.15
United Facility/Professional Facility Modifier Low / Median / High Price $677.00 / $5,417.00 / $13,093.00	Facility		$677.00	$5,417.00	$13,093.00
United Facility/Professional Professional Modifier Low / Median / High Price $150.40 / $209.81 / $353.80	Professional		$150.40	$209.81	$353.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $120.77 / $120.77 / $120.77	Professional		$120.77	$120.77	$120.77