Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.40 / $3,087.00 / $11,550.00	Facility		$145.40	$3,087.00	$11,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.25 / $148.18 / $253.09	Professional		$95.25	$148.18	$253.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $135.97 / $135.97 / $193.37	Professional		$135.97	$135.97	$193.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.63 / $153.15 / $1,652.00	Facility		$128.63	$153.15	$1,652.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.55 / $176.91 / $313.77	Professional		$107.55	$176.91	$313.77
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,618.00 / $2,845.00 / $6,066.00	Facility		$1,618.00	$2,845.00	$6,066.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $70.09 / $143.53 / $209.91	Professional		$70.09	$143.53	$209.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.94 / $161.34 / $243.63	Professional		$107.94	$161.34	$243.63
United Facility/Professional Facility Modifier Low / Median / High Price $188.00 / $1,454.00 / $4,429.00	Facility		$188.00	$1,454.00	$4,429.00
United Facility/Professional Professional Modifier Low / Median / High Price $129.44 / $176.47 / $320.75	Professional		$129.44	$176.47	$320.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $83.24 / $142.72 / $142.72	Professional		$83.24	$142.72	$142.72