Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.64 / $4,022.00 / $11,576.00	Facility		$164.64	$4,022.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.84 / $138.00 / $271.38	Professional		$65.84	$138.00	$271.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.09 / $89.44 / $267.56	Professional		$66.09	$89.44	$267.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.26 / $502.77 / $1,652.00	Facility		$123.26	$502.77	$1,652.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.59 / $174.40 / $335.09	Professional		$74.59	$174.40	$335.09
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,894.00 / $3,093.00 / $6,853.00	Facility		$1,894.00	$3,093.00	$6,853.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $72.84 / $154.94 / $231.28	Professional		$72.84	$154.94	$231.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $131.75 / $210.08 / $305.14	Professional		$131.75	$210.08	$305.14
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 $144.84 / $204.04 / $373.15	Professional		$144.84	$204.04	$373.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $55.66 / $158.05 / $158.05	Professional		$55.66	$158.05	$158.05