Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $3,388.44 / $10,715.19	Facility		$190.55	$3,388.44	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $125.89 / $281.84	Professional		$67.61	$125.89	$281.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $107.15 / $134.90	Professional		$91.20	$107.15	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $74.13 / $117.49	Facility		$34.67	$74.13	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $109.65 / $190.55	Professional		$61.66	$109.65	$190.55
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,454.71 / $4,168.69	Facility		$1,513.56	$2,454.71	$4,168.69
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $91.20 / $134.90	Professional		$83.18	$91.20	$134.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $83.18 / $173.78	Professional		$32.36	$83.18	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $1,584.89 / $4,168.69	Facility		$269.15	$1,584.89	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $97.72 / $177.83	Professional		$57.54	$97.72	$177.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $93.33	Professional		$53.70	$53.70	$93.33