Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.52 / $3,828.55 / $10,632.00	Facility		$168.52	$3,828.55	$10,632.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.34 / $178.36 / $367.02	Professional		$97.34	$178.36	$367.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $106.89 / $180.42 / $324.97	Professional		$106.89	$180.42	$324.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.76 / $655.25 / $1,652.00	Facility		$181.76	$655.25	$1,652.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.18 / $195.08 / $354.33	Professional		$108.18	$195.08	$354.33
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2,284.00 / $4,562.00 / $9,053.00	Facility		$2,284.00	$4,562.00	$9,053.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $82.32 / $148.69 / $236.74	Professional		$82.32	$148.69	$236.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.07 / $164.55 / $264.35	Professional		$31.07	$164.55	$264.35
United Facility/Professional Facility Modifier Low / Median / High Price $573.00 / $3,514.00 / $7,044.00	Facility		$573.00	$3,514.00	$7,044.00
United Facility/Professional Professional Modifier Low / Median / High Price $150.82 / $210.40 / $402.93	Professional		$150.82	$210.40	$402.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $84.77 / $162.38 / $162.38	Professional		$84.77	$162.38	$162.38