Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.22 / $3,276.00 / $10,632.00	Facility		$168.22	$3,276.00	$10,632.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.20 / $162.61 / $284.75	Professional		$103.20	$162.61	$284.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.01 / $200.31 / $253.01	Professional		$162.01	$200.31	$253.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.30 / $162.88 / $323.00	Facility		$160.30	$162.88	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.37 / $216.41 / $360.72	Professional		$139.37	$216.41	$360.72
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,438.00 / $2,403.00 / $4,309.00	Facility		$1,438.00	$2,403.00	$4,309.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $108.26 / $158.91 / $262.85	Professional		$108.26	$158.91	$262.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $173.48 / $249.91 / $342.25	Professional		$173.48	$249.91	$342.25
United Facility/Professional Facility Modifier Low / Median / High Price $345.00 / $1,861.00 / $4,970.00	Facility		$345.00	$1,861.00	$4,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $153.29 / $227.61 / $426.85	Professional		$153.29	$227.61	$426.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $117.19 / $177.45 / $177.45	Professional		$117.19	$177.45	$177.45