Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.46 / $3,261.00 / $10,802.00	Facility		$136.46	$3,261.00	$10,802.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.72 / $119.36 / $179.03	Professional		$55.72	$119.36	$179.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $86.01 / $86.01 / $86.01	Professional		$86.01	$86.01	$86.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.74 / $110.49 / $323.00	Facility		$108.74	$110.49	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.48 / $136.78 / $266.27	Professional		$64.48	$136.78	$266.27
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2,561.00 / $4,821.00 / $9,360.00	Facility		$2,561.00	$4,821.00	$9,360.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $103.28 / $110.66 / $220.38	Professional		$103.28	$110.66	$220.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $96.75 / $145.20 / $202.95	Professional		$96.75	$145.20	$202.95
United Facility/Professional Facility Modifier Low / Median / High Price $539.00 / $2,671.00 / $5,855.00	Facility		$539.00	$2,671.00	$5,855.00
United Facility/Professional Professional Modifier Low / Median / High Price $130.24 / $193.21 / $320.27	Professional		$130.24	$193.21	$320.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $51.32 / $120.51 / $120.51	Professional		$51.32	$120.51	$120.51