Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $377.00 / $3,401.00 / $11,576.00	Facility		$377.00	$3,401.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.22 / $184.79 / $266.99	Professional		$109.22	$184.79	$266.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $266.26 / $266.26 / $266.26	Professional		$266.26	$266.26	$266.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.75 / $236.68 / $505.55	Facility		$193.75	$236.68	$505.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.20 / $185.05 / $336.55	Professional		$119.20	$185.05	$336.55
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,701.00 / $2,867.00 / $6,066.00	Facility		$1,701.00	$2,867.00	$6,066.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $50.41 / $113.71 / $193.97	Professional		$50.41	$113.71	$193.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $128.06 / $176.85 / $239.68	Professional		$128.06	$176.85	$239.68
United Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $1,800.00 / $4,456.00	Facility		$294.00	$1,800.00	$4,456.00
United Facility/Professional Professional Modifier Low / Median / High Price $98.63 / $157.56 / $287.57	Professional		$98.63	$157.56	$287.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $127.41 / $127.41 / $162.44	Professional		$127.41	$127.41	$162.44