Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $3,235.94 / $10,000.00	Facility		$234.42	$3,235.94	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $213.80 / $398.11	Professional		$154.88	$213.80	$398.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $186.21	Professional		$112.20	$112.20	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $1,659.59 / $1,995.26	Facility		$316.23	$1,659.59	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $257.04 / $501.19	Professional		$177.83	$257.04	$501.19
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $10,715.19 / $21,379.62	Facility		$5,370.32	$10,715.19	$21,379.62
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $177.83 / $229.09	Professional		$169.82	$177.83	$229.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $302.00	Professional		$32.36	$33.11	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $5,623.41 / $9,772.37	Facility		$1,737.80	$5,623.41	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $229.09 / $407.38	Professional		$151.36	$229.09	$407.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $186.21 / $239.88	Professional		$144.54	$186.21	$239.88