Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.88 / $2,215.00 / $10,086.00	Facility		$122.88	$2,215.00	$10,086.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.25 / $115.65 / $224.37	Professional		$34.25	$115.65	$224.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.53 / $53.72 / $77.29	Professional		$31.53	$53.72	$77.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.43 / $43.61 / $62.62	Facility		$41.43	$43.61	$62.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.38 / $99.65 / $266.36	Professional		$38.38	$99.65	$266.36
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $181.17 / $193.25 / $208.95	Facility		$181.17	$193.25	$208.95
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $44.14 / $112.54 / $192.93	Professional		$44.14	$112.54	$192.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.59 / $169.54 / $283.22	Professional		$64.59	$169.54	$283.22
United Facility/Professional Facility Modifier Low / Median / High Price $351.00 / $1,916.00 / $4,970.00	Facility		$351.00	$1,916.00	$4,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $118.81 / $174.37 / $333.93	Professional		$118.81	$174.37	$333.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27.83 / $61.66 / $61.66	Professional		$27.83	$61.66	$61.66