Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.90 / $2,084.00 / $10,086.00	Facility		$179.90	$2,084.00	$10,086.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.03 / $176.36 / $263.11	Professional		$118.03	$176.36	$263.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $499.81 / $499.81 / $569.80	Professional		$499.81	$499.81	$569.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.47 / $130.54 / $323.00	Facility		$128.47	$130.54	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.99 / $216.19 / $381.17	Professional		$129.99	$216.19	$381.17
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 $150.33 / $161.07 / $283.31	Professional		$150.33	$161.07	$283.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $149.05 / $218.31 / $302.28	Professional		$149.05	$218.31	$302.28
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 $171.65 / $252.45 / $444.52	Professional		$171.65	$252.45	$444.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $102.90 / $170.81 / $170.81	Professional		$102.90	$170.81	$170.81