Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.31 / $3,279.00 / $11,576.00	Facility		$120.31	$3,279.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.47 / $120.31 / $196.32	Professional		$79.47	$120.31	$196.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.30 / $95.30 / $95.30	Professional		$95.30	$95.30	$95.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.87 / $145.09 / $1,652.00	Facility		$121.87	$145.09	$1,652.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.35 / $150.87 / $275.00	Professional		$90.35	$150.87	$275.00
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 $59.94 / $119.47 / $187.00	Professional		$59.94	$119.47	$187.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.86 / $160.85 / $241.19	Professional		$106.86	$160.85	$241.19
United Facility/Professional Facility Modifier Low / Median / High Price $390.00 / $2,491.00 / $5,015.00	Facility		$390.00	$2,491.00	$5,015.00
United Facility/Professional Professional Modifier Low / Median / High Price $111.67 / $155.50 / $279.89	Professional		$111.67	$155.50	$279.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $71.23 / $128.68 / $128.68	Professional		$71.23	$128.68	$128.68