Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.14 / $3,751.00 / $11,576.00	Facility		$164.14	$3,751.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.97 / $255.64 / $574.15	Professional		$158.97	$255.64	$574.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $152.08 / $152.08 / $535.97	Professional		$152.08	$152.08	$535.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $286.80 / $861.35 / $2,213.00	Facility		$286.80	$861.35	$2,213.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.87 / $323.86 / $714.21	Professional		$170.87	$323.86	$714.21
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2,979.00 / $5,611.00 / $11,030.00	Facility		$2,979.00	$5,611.00	$11,030.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $88.03 / $201.34 / $476.81	Professional		$88.03	$201.34	$476.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $277.66 / $454.30 / $643.85	Professional		$277.66	$454.30	$643.85
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 $169.50 / $391.82 / $761.80	Professional		$169.50	$391.82	$761.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $129.19 / $238.54 / $238.54	Professional		$129.19	$238.54	$238.54