Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.88 / $2,324.00 / $9,437.00	Facility		$152.88	$2,324.00	$9,437.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.42 / $173.54 / $281.82	Professional		$120.42	$173.54	$281.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $140.72 / $180.94 / $402.09	Professional		$140.72	$180.94	$402.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.73 / $147.30 / $1,652.00	Facility		$123.73	$147.30	$1,652.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.54 / $204.33 / $343.63	Professional		$132.54	$204.33	$343.63
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 $79.23 / $158.77 / $219.22	Professional		$79.23	$158.77	$219.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $119.83 / $176.33 / $273.06	Professional		$119.83	$176.33	$273.06
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 $141.59 / $196.14 / $339.78	Professional		$141.59	$196.14	$339.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $105.96 / $147.58 / $147.58	Professional		$105.96	$147.58	$147.58