Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.95 / $3,969.00 / $11,576.00	Facility		$241.95	$3,969.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.16 / $233.79 / $372.75	Professional		$155.16	$233.79	$372.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $148.56 / $148.56 / $148.56	Professional		$148.56	$148.56	$148.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.73 / $147.30 / $2,213.00	Facility		$123.73	$147.30	$2,213.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.38 / $294.94 / $505.15	Professional		$178.38	$294.94	$505.15
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,316.00 / $2,344.00 / $4,180.00	Facility		$1,316.00	$2,344.00	$4,180.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $100.98 / $206.98 / $349.85	Professional		$100.98	$206.98	$349.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.49 / $258.38 / $405.91	Professional		$33.49	$258.38	$405.91
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 $206.50 / $298.08 / $554.48	Professional		$206.50	$298.08	$554.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $142.22 / $183.65 / $183.65	Professional		$142.22	$183.65	$183.65