Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $3,090.30 / $9,772.37	Facility		$199.53	$3,090.30	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $229.09 / $478.63	Professional		$154.88	$229.09	$478.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $190.55 / $245.47	Professional		$144.54	$190.55	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $169.82 / $691.83	Facility		$141.25	$169.82	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $251.19 / $457.09	Professional		$165.96	$251.19	$457.09
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $11,748.98 / $22,908.68	Facility		$5,495.41	$11,748.98	$22,908.68
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $186.21 / $275.42	Professional		$109.65	$186.21	$275.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $123.03 / $295.12	Professional		$32.36	$123.03	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $3,467.37 / $6,606.93	Facility		$707.95	$3,467.37	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $204.17 / $354.81	Professional		$134.90	$204.17	$354.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $177.83 / $234.42	Professional		$128.82	$177.83	$234.42