Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.19 / $3,276.00 / $11,550.00	Facility		$94.19	$3,276.00	$11,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.80 / $97.96 / $164.50	Professional		$76.80	$97.96	$164.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $111.52 / $117.17 / $156.24	Professional		$111.52	$117.17	$156.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.48 / $66.55 / $323.00	Facility		$65.48	$66.55	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.58 / $134.18 / $215.78	Professional		$88.58	$134.18	$215.78
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 $79.16 / $91.91 / $161.66	Professional		$79.16	$91.91	$161.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.40 / $144.90 / $195.72	Professional		$100.40	$144.90	$195.72
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 $93.46 / $137.07 / $249.54	Professional		$93.46	$137.07	$249.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $69.95 / $97.02 / $97.02	Professional		$69.95	$97.02	$97.02