Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.46 / $4,790.00 / $11,576.00	Facility		$97.46	$4,790.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.55 / $100.93 / $147.12	Professional		$73.55	$100.93	$147.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $168.77 / $168.77 / $168.77	Professional		$168.77	$168.77	$168.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.59 / $64.48 / $76.76	Facility		$63.59	$64.48	$76.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.37 / $130.86 / $220.00	Professional		$82.37	$130.86	$220.00
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2,104.00 / $3,121.00 / $6,861.00	Facility		$2,104.00	$3,121.00	$6,861.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $80.59 / $86.35 / $151.88	Professional		$80.59	$86.35	$151.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.78 / $109.60 / $151.86	Professional		$74.78	$109.60	$151.86
United Facility/Professional Facility Modifier Low / Median / High Price $539.00 / $2,671.00 / $5,507.00	Facility		$539.00	$2,671.00	$5,507.00
United Facility/Professional Professional Modifier Low / Median / High Price $99.34 / $143.47 / $240.33	Professional		$99.34	$143.47	$240.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $64.84 / $91.92 / $91.92	Professional		$64.84	$91.92	$91.92