Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $3,235.94 / $10,000.00	Facility		$213.80	$3,235.94	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $190.55 / $363.08	Professional		$114.82	$190.55	$363.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $162.18 / $204.17	Professional		$109.65	$162.18	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $154.88 / $199.53	Facility		$34.67	$154.88	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $208.93 / $407.38	Professional		$117.49	$208.93	$407.38
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,235.94 / $6,606.93	Facility		$2,238.72	$3,235.94	$6,606.93
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $151.36 / $194.98	Professional		$144.54	$151.36	$194.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $245.47	Professional		$32.36	$33.11	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,570.40 / $5,011.87	Facility		$537.03	$2,570.40	$5,011.87
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $190.55 / $354.81	Professional		$112.20	$190.55	$354.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $154.88 / $204.17	Professional		$93.33	$154.88	$204.17