Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.76 / $3,401.00 / $10,632.00	Facility		$159.76	$3,401.00	$10,632.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.34 / $159.76 / $340.15	Professional		$68.34	$159.76	$340.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.58 / $230.88 / $230.88	Professional		$97.58	$230.88	$230.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.25 / $243.05 / $2,530.00	Facility		$128.25	$243.05	$2,530.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.64 / $204.85 / $409.71	Professional		$72.64	$204.85	$409.71
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2,239.00 / $3,979.00 / $7,509.00	Facility		$2,239.00	$3,979.00	$7,509.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $64.28 / $174.82 / $302.95	Professional		$64.28	$174.82	$302.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $130.45 / $278.73 / $398.00	Professional		$130.45	$278.73	$398.00
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 $167.88 / $245.92 / $494.60	Professional		$167.88	$245.92	$494.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $58.21 / $104.74 / $104.74	Professional		$58.21	$104.74	$104.74