Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.13 / $3,241.00 / $10,632.00	Facility		$219.13	$3,241.00	$10,632.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.87 / $245.36 / $474.71	Professional		$167.87	$245.36	$474.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $172.72 / $280.94 / $402.37	Professional		$172.72	$280.94	$402.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.22 / $226.46 / $1,652.00	Facility		$190.22	$226.46	$1,652.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.96 / $287.83 / $483.79	Professional		$181.96	$287.83	$483.79
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 $105.33 / $192.57 / $322.66	Professional		$105.33	$192.57	$322.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.92 / $230.60 / $360.50	Professional		$31.92	$230.60	$360.50
United Facility/Professional Facility Modifier Low / Median / High Price $390.00 / $2,491.00 / $5,015.00	Facility		$390.00	$2,491.00	$5,015.00
United Facility/Professional Professional Modifier Low / Median / High Price $190.74 / $270.75 / $501.77	Professional		$190.74	$270.75	$501.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $150.38 / $220.09 / $220.09	Professional		$150.38	$220.09	$220.09