Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.63 / $3,276.00 / $11,576.00	Facility		$121.63	$3,276.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.73 / $121.80 / $187.96	Professional		$97.73	$121.80	$187.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $148.50 / $148.50 / $148.50	Professional		$148.50	$148.50	$148.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.93 / $85.28 / $323.00	Facility		$83.93	$85.28	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.47 / $173.08 / $290.67	Professional		$113.47	$173.08	$290.67
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 $107.37 / $122.39 / $215.28	Professional		$107.37	$122.39	$215.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $124.72 / $181.60 / $246.52	Professional		$124.72	$181.60	$246.52
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 $125.74 / $186.01 / $334.02	Professional		$125.74	$186.01	$334.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $128.68 / $128.68	Professional		$87.07	$128.68	$128.68