Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.35 / $2,366.00 / $11,550.00	Facility		$115.35	$2,366.00	$11,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $110.62 / $179.51	Professional		$71.37	$110.62	$179.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.33 / $95.33 / $95.33	Professional		$95.33	$95.33	$95.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.75 / $84.92 / $101.10	Facility		$83.75	$84.92	$101.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.81 / $141.02 / $251.54	Professional		$76.81	$141.02	$251.54
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,146.00 / $1,732.00 / $2,887.00	Facility		$1,146.00	$1,732.00	$2,887.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $98.31 / $105.34 / $185.28	Professional		$98.31	$105.34	$185.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.45 / $145.20 / $198.00	Professional		$97.45	$145.20	$198.00
United Facility/Professional Facility Modifier Low / Median / High Price $345.00 / $1,861.00 / $4,970.00	Facility		$345.00	$1,861.00	$4,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $112.14 / $168.58 / $273.42	Professional		$112.14	$168.58	$273.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.96 / $113.11 / $113.11	Professional		$57.96	$113.11	$113.11