Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.51 / $3,276.00 / $11,481.00	Facility		$163.51	$3,276.00	$11,481.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.76 / $153.88 / $286.63	Professional		$68.76	$153.88	$286.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $137.12 / $137.12 / $137.12	Professional		$137.12	$137.12	$137.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.40 / $487.89 / $1,652.00	Facility		$122.40	$487.89	$1,652.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.08 / $191.35 / $384.93	Professional		$78.08	$191.35	$384.93
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,894.00 / $3,083.00 / $6,645.00	Facility		$1,894.00	$3,083.00	$6,645.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $105.75 / $210.79 / $251.79	Professional		$105.75	$210.79	$251.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $131.75 / $210.18 / $309.00	Professional		$131.75	$210.18	$309.00
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 $163.66 / $230.09 / $408.45	Professional		$163.66	$230.09	$408.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $55.41 / $164.68 / $164.68	Professional		$55.41	$164.68	$164.68