Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.06 / $3,401.00 / $11,550.00	Facility		$163.06	$3,401.00	$11,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.47 / $162.22 / $248.86	Professional		$105.47	$162.22	$248.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $281.85 / $281.85 / $281.85	Professional		$281.85	$281.85	$281.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $705.99 / $840.46	Facility		$323.00	$705.99	$840.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.30 / $200.36 / $361.35	Professional		$115.30	$200.36	$361.35
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2,561.00 / $4,821.00 / $9,360.00	Facility		$2,561.00	$4,821.00	$9,360.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $134.28 / $143.87 / $253.06	Professional		$134.28	$143.87	$253.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $149.05 / $218.31 / $296.35	Professional		$149.05	$218.31	$296.35
United Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,611.00 / $8,105.00	Facility		$803.00	$3,611.00	$8,105.00
United Facility/Professional Professional Modifier Low / Median / High Price $158.31 / $225.09 / $403.51	Professional		$158.31	$225.09	$403.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $93.70 / $154.97 / $154.97	Professional		$93.70	$154.97	$154.97