Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.93 / $187.32 / $977.99	Facility		$180.93	$187.32	$977.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.08 / $1,309.45 / $3,943.36	Professional		$226.08	$1,309.45	$3,943.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $224.25 / $224.25 / $236.21	Professional		$224.25	$224.25	$236.21
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 $777.95 / $833.51 / $2,668.24	Professional		$777.95	$833.51	$2,668.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $857.05 / $1,287.32 / $1,711.75	Professional		$857.05	$1,287.32	$1,711.75
United Facility/Professional Professional Modifier Low / Median / High Price $1,656.49 / $2,643.85 / $4,470.63	Professional		$1,656.49	$2,643.85	$4,470.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $157.79 / $912.27 / $912.27	Professional		$157.79	$912.27	$912.27