Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.58 / $3,063.00 / $11,550.00	Facility		$100.58	$3,063.00	$11,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.36 / $102.81 / $172.10	Professional		$77.36	$102.81	$172.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $124.03 / $124.03 / $124.03	Professional		$124.03	$124.03	$124.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.04 / $69.13 / $323.00	Facility		$68.04	$69.13	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.41 / $136.94 / $229.76	Professional		$88.41	$136.94	$229.76
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 $84.27 / $97.23 / $171.01	Professional		$84.27	$97.23	$171.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.40 / $144.90 / $196.69	Professional		$100.40	$144.90	$196.69
United Facility/Professional Facility Modifier Low / Median / High Price $345.00 / $1,800.00 / $4,970.00	Facility		$345.00	$1,800.00	$4,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $98.86 / $139.72 / $264.94	Professional		$98.86	$139.72	$264.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $69.19 / $102.39 / $102.39	Professional		$69.19	$102.39	$102.39