Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.23 / $3,401.00 / $11,576.00	Facility		$193.23	$3,401.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.05 / $164.43 / $340.90	Professional		$73.05	$164.43	$340.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.01 / $112.01 / $112.01	Professional		$112.01	$112.01	$112.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.87 / $487.89 / $1,652.00	Facility		$143.87	$487.89	$1,652.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.34 / $195.85 / $433.23	Professional		$84.34	$195.85	$433.23
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 $89.94 / $179.88 / $315.51	Professional		$89.94	$179.88	$315.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $129.40 / $278.73 / $407.32	Professional		$129.40	$278.73	$407.32
United Facility/Professional Facility Modifier Low / Median / High Price $580.00 / $3,514.00 / $7,044.00	Facility		$580.00	$3,514.00	$7,044.00
United Facility/Professional Professional Modifier Low / Median / High Price $178.86 / $257.57 / $493.97	Professional		$178.86	$257.57	$493.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $65.36 / $103.90 / $103.90	Professional		$65.36	$103.90	$103.90