Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $4,570.88 / $10,964.78	Facility		$154.88	$4,570.88	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $147.91 / $371.54	Professional		$102.33	$147.91	$371.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $131.83 / $204.17	Professional		$112.20	$131.83	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $190.55	Facility		$34.67	$34.67	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $162.18 / $302.00	Professional		$104.71	$162.18	$302.00
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,454.71 / $4,168.69	Facility		$1,513.56	$2,454.71	$4,168.69
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $104.71 / $141.25	Professional		$100.00	$104.71	$141.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $177.83	Professional		$32.36	$33.11	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $1,584.89 / $3,890.45	Facility		$239.88	$1,584.89	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $144.54 / $251.19	Professional		$93.33	$144.54	$251.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $112.20 / $141.25	Professional		$87.10	$112.20	$141.25