Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.29 / $1,500.00 / $8,269.00	Facility		$147.29	$1,500.00	$8,269.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.27 / $112.29 / $178.31	Professional		$89.27	$112.29	$178.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $116.23 / $183.57 / $453.49	Professional		$116.23	$183.57	$453.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.31 / $84.64 / $432.00	Facility		$83.31	$84.64	$432.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.30 / $155.22 / $246.07	Professional		$109.30	$155.22	$246.07
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 $79.98 / $105.50 / $185.57	Professional		$79.98	$105.50	$185.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $88.16 / $128.42 / $189.64	Professional		$88.16	$128.42	$189.64
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 $95.58 / $142.37 / $250.63	Professional		$95.58	$142.37	$250.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $98.30 / $111.83 / $111.83	Professional		$98.30	$111.83	$111.83