Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $5,495.41 / $10,964.78	Facility		$1,047.13	$5,495.41	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $120.23 / $245.47	Professional		$100.00	$120.23	$245.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $190.55 / $457.09	Facility		$34.67	$190.55	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $151.36 / $257.04	Professional		$104.71	$151.36	$257.04
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $21,379.62 / $33,113.11	Facility		$9,332.54	$21,379.62	$33,113.11
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $109.65 / $141.25	Professional		$58.88	$109.65	$141.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $141.25	Professional		$32.36	$33.11	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $5,011.87 / $10,715.19	Facility		$616.60	$5,011.87	$10,715.19
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $117.49 / $208.93	Professional		$89.13	$117.49	$208.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $107.15	Professional		$85.11	$85.11	$107.15