Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.89 / $3,276.00 / $11,576.00	Facility		$172.89	$3,276.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.94 / $196.35 / $300.43	Professional		$120.94	$196.35	$300.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $265.75 / $265.75 / $265.75	Professional		$265.75	$265.75	$265.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.07 / $196.52 / $1,652.00	Facility		$165.07	$196.52	$1,652.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.66 / $227.23 / $414.59	Professional		$134.66	$227.23	$414.59
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,618.00 / $2,845.00 / $6,066.00	Facility		$1,618.00	$2,845.00	$6,066.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $94.16 / $179.35 / $274.97	Professional		$94.16	$179.35	$274.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.48 / $197.31 / $308.19	Professional		$31.48	$197.31	$308.19
United Facility/Professional Facility Modifier Low / Median / High Price $188.00 / $1,454.00 / $4,429.00	Facility		$188.00	$1,454.00	$4,429.00
United Facility/Professional Professional Modifier Low / Median / High Price $168.46 / $238.56 / $418.26	Professional		$168.46	$238.56	$418.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $107.24 / $186.39 / $186.39	Professional		$107.24	$186.39	$186.39