Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.14 / $3,276.00 / $11,576.00	Facility		$85.14	$3,276.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.15 / $104.57 / $181.39	Professional		$64.15	$104.57	$181.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.96 / $110.54 / $130.74	Professional		$93.96	$110.54	$130.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.45 / $74.48 / $88.66	Facility		$73.45	$74.48	$88.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.85 / $108.75 / $187.82	Professional		$61.85	$108.75	$187.82
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,438.00 / $2,394.00 / $4,243.00	Facility		$1,438.00	$2,394.00	$4,243.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $66.73 / $92.69 / $139.68	Professional		$66.73	$92.69	$139.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.04 / $101.71 / $145.36	Professional		$69.04	$101.71	$145.36
United Facility/Professional Facility Modifier Low / Median / High Price $366.00 / $1,950.00 / $4,970.00	Facility		$366.00	$1,950.00	$4,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $87.75 / $115.31 / $200.53	Professional		$87.75	$115.31	$200.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $53.11 / $93.45 / $93.45	Professional		$53.11	$93.45	$93.45