Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.12 / $163.69 / $492.54	Facility		$158.12	$163.69	$492.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.52 / $630.90 / $1,397.21	Professional		$199.52	$630.90	$1,397.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $251.13 / $251.13 / $251.13	Professional		$251.13	$251.13	$251.13
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,275.00 / $2,749.00 / $6,798.00	Facility		$1,275.00	$2,749.00	$6,798.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $391.79 / $419.78 / $958.39	Professional		$391.79	$419.78	$958.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $431.78 / $652.81 / $844.72	Professional		$431.78	$652.81	$844.72
United Facility/Professional Professional Modifier Low / Median / High Price $651.87 / $985.64 / $1,699.09	Professional		$651.87	$985.64	$1,699.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $138.38 / $452.18 / $452.18	Professional		$138.38	$452.18	$452.18