Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.35 / $3,401.00 / $11,576.00	Facility		$97.35	$3,401.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.62 / $123.28 / $214.51	Professional		$91.62	$123.28	$214.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $139.19 / $139.19 / $139.19	Professional		$139.19	$139.19	$139.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.72 / $160.12 / $260.82	Professional		$99.72	$160.12	$260.82
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,438.00 / $2,394.00 / $4,243.00	Facility		$1,438.00	$2,394.00	$4,243.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $96.34 / $104.59 / $183.97	Professional		$96.34	$104.59	$183.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $87.83 / $128.42 / $189.64	Professional		$87.83	$128.42	$189.64
United Facility/Professional Facility Modifier Low / Median / High Price $345.00 / $1,911.00 / $4,970.00	Facility		$345.00	$1,911.00	$4,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $106.31 / $157.66 / $282.61	Professional		$106.31	$157.66	$282.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $87.83 / $112.85 / $112.85	Professional		$87.83	$112.85	$112.85