Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.54 / $3,279.00 / $11,576.00	Facility		$171.54	$3,279.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.26 / $182.26 / $302.82	Professional		$115.26	$182.26	$302.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $235.04 / $235.04 / $235.04	Professional		$235.04	$235.04	$235.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.50 / $193.46 / $1,652.00	Facility		$162.50	$193.46	$1,652.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.63 / $215.34 / $379.61	Professional		$128.63	$215.34	$379.61
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $4,672.00 / $12,190.00 / $22,833.00	Facility		$4,672.00	$12,190.00	$22,833.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $86.81 / $165.34 / $255.14	Professional		$86.81	$165.34	$255.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.21 / $188.21 / $300.46	Professional		$33.21	$188.21	$300.46
United Facility/Professional Facility Modifier Low / Median / High Price $659.00 / $3,514.00 / $7,044.00	Facility		$659.00	$3,514.00	$7,044.00
United Facility/Professional Professional Modifier Low / Median / High Price $157.74 / $221.20 / $401.19	Professional		$157.74	$221.20	$401.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $173.88 / $173.88	Professional		$100.09	$173.88	$173.88