Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.65 / $3,276.00 / $11,481.00	Facility		$210.65	$3,276.00	$11,481.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.04 / $208.84 / $346.98	Professional		$127.04	$208.84	$346.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $205.05 / $205.05 / $205.05	Professional		$205.05	$205.05	$205.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $183.14 / $218.02 / $1,652.00	Facility		$183.14	$218.02	$1,652.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.18 / $243.44 / $428.19	Professional		$145.18	$243.44	$428.19
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 $99.70 / $180.41 / $289.52	Professional		$99.70	$180.41	$289.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.26 / $221.31 / $346.18	Professional		$33.26	$221.31	$346.18
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 $182.09 / $257.08 / $448.39	Professional		$182.09	$257.08	$448.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $112.85 / $197.11 / $197.11	Professional		$112.85	$197.11	$197.11