Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $277.82 / $3,241.00 / $11,576.00	Facility		$277.82	$3,241.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.84 / $261.47 / $415.24	Professional		$74.84	$261.47	$415.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.80 / $82.80 / $82.80	Professional		$82.80	$82.80	$82.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.28 / $148.19 / $1,652.00	Facility		$130.28	$148.19	$1,652.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.54 / $231.83 / $532.30	Professional		$85.54	$231.83	$532.30
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,316.00 / $2,347.00 / $4,243.00	Facility		$1,316.00	$2,347.00	$4,243.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $145.65 / $302.44 / $372.60	Professional		$145.65	$302.44	$372.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $191.52 / $320.82 / $476.96	Professional		$191.52	$320.82	$476.96
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 $208.74 / $339.25 / $583.71	Professional		$208.74	$339.25	$583.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.15 / $247.66 / $247.66	Professional		$67.15	$247.66	$247.66