Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $2,951.21 / $8,128.31	Facility		$204.17	$2,951.21	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $112.20 / $251.19	Professional		$75.86	$112.20	$251.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $117.49 / $138.04	Professional		$91.20	$117.49	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $66.07 / $144.54	Facility		$34.67	$66.07	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $134.90 / $257.04	Professional		$87.10	$134.90	$257.04
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,454.71 / $4,168.69	Facility		$1,513.56	$2,454.71	$4,168.69
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $95.50 / $125.89	Professional		$91.20	$95.50	$125.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $147.91	Professional		$32.36	$33.11	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $1,584.89 / $3,890.45	Facility		$245.47	$1,584.89	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $123.03 / $218.78	Professional		$77.62	$123.03	$218.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $95.50 / $128.82	Professional		$64.57	$95.50	$128.82