Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.41 / $3,401.00 / $11,576.00	Facility		$65.41	$3,401.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.36 / $77.95 / $123.81	Professional		$63.36	$77.95	$123.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $130.88 / $219.45 / $264.18	Professional		$130.88	$219.45	$264.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.15 / $45.78 / $54.50	Facility		$45.15	$45.78	$54.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.78 / $106.68 / $171.71	Professional		$67.78	$106.68	$171.71
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 $62.48 / $66.95 / $117.75	Professional		$62.48	$66.95	$117.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.45 / $74.23 / $101.79	Professional		$52.45	$74.23	$101.79
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 $73.05 / $105.00 / $184.19	Professional		$73.05	$105.00	$184.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.19 / $70.72 / $70.72	Professional		$57.19	$70.72	$70.72