Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.95 / $3,379.00 / $11,576.00	Facility		$120.95	$3,379.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.83 / $144.74 / $475.32	Professional		$86.83	$144.74	$475.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $126.58 / $161.09 / $161.09	Professional		$126.58	$161.09	$161.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.83 / $393.48 / $1,652.00	Facility		$158.83	$393.48	$1,652.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.27 / $152.02 / $280.23	Professional		$90.27	$152.02	$280.23
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,618.00 / $2,865.00 / $6,066.00	Facility		$1,618.00	$2,865.00	$6,066.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $104.53 / $144.76 / $184.48	Professional		$104.53	$144.76	$184.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.13 / $174.62 / $246.62	Professional		$109.13	$174.62	$246.62
United Facility/Professional Facility Modifier Low / Median / High Price $198.00 / $1,454.00 / $4,429.00	Facility		$198.00	$1,454.00	$4,429.00
United Facility/Professional Professional Modifier Low / Median / High Price $109.64 / $150.76 / $263.12	Professional		$109.64	$150.76	$263.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $66.37 / $69.86 / $69.86	Professional		$66.37	$69.86	$69.86