Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.67 / $3,798.68 / $13,066.00	Facility		$176.67	$3,798.68	$13,066.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.43 / $166.28 / $255.41	Professional		$68.43	$166.28	$255.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.84 / $106.22 / $165.76	Professional		$65.84	$106.22	$165.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.71 / $119.71 / $594.79	Facility		$119.71	$119.71	$594.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.98 / $153.47 / $347.95	Professional		$76.98	$153.47	$347.95
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,047.00 / $2,674.00 / $6,584.00	Facility		$1,047.00	$2,674.00	$6,584.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $113.42 / $219.02 / $278.85	Professional		$113.42	$219.02	$278.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.66 / $143.15 / $244.60	Professional		$95.66	$143.15	$244.60
United Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $1,952.00 / $4,970.00	Facility		$294.00	$1,952.00	$4,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $160.37 / $239.98 / $407.82	Professional		$160.37	$239.98	$407.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $53.11 / $129.69 / $129.69	Professional		$53.11	$129.69	$129.69