Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.87 / $3,751.00 / $11,550.00	Facility		$158.87	$3,751.00	$11,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.53 / $185.16 / $301.98	Professional		$122.53	$185.16	$301.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $225.14 / $225.14 / $247.43	Professional		$225.14	$225.14	$247.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.99 / $176.18 / $2,213.00	Facility		$147.99	$176.18	$2,213.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.76 / $215.20 / $376.15	Professional		$135.76	$215.20	$376.15
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 $86.96 / $161.58 / $244.39	Professional		$86.96	$161.58	$244.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.56 / $211.65 / $325.08	Professional		$144.56	$211.65	$325.08
United Facility/Professional Facility Modifier Low / Median / High Price $659.00 / $3,523.00 / $7,044.00	Facility		$659.00	$3,523.00	$7,044.00
United Facility/Professional Professional Modifier Low / Median / High Price $156.49 / $218.94 / $399.93	Professional		$156.49	$218.94	$399.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $104.68 / $165.96 / $165.96	Professional		$104.68	$165.96	$165.96