Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.86 / $1,026.00 / $8,146.00	Facility		$145.86	$1,026.00	$8,146.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.52 / $122.66 / $198.44	Professional		$27.52	$122.66	$198.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.50 / $43.68 / $63.95	Professional		$26.50	$43.68	$63.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.10 / $128.44 / $323.00	Facility		$51.10	$128.44	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.84 / $69.52 / $253.12	Professional		$30.84	$69.52	$253.12
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,424.00 / $2,403.00 / $4,272.00	Facility		$1,424.00	$2,403.00	$4,272.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $91.77 / $168.40 / $225.24	Professional		$91.77	$168.40	$225.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $84.02 / $135.65 / $222.41	Professional		$84.02	$135.65	$222.41
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 $121.52 / $176.32 / $313.77	Professional		$121.52	$176.32	$313.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.72 / $102.13 / $102.13	Professional		$22.72	$102.13	$102.13