Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.41 / $2,785.00 / $10,632.00	Facility		$128.41	$2,785.00	$10,632.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.97 / $151.16 / $282.41	Professional		$116.97	$151.16	$282.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $150.44 / $157.94 / $259.44	Professional		$150.44	$157.94	$259.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.70 / $75.92 / $323.00	Facility		$74.70	$75.92	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.07 / $190.58 / $303.52	Professional		$127.07	$190.58	$303.52
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 $113.02 / $121.49 / $218.10	Professional		$113.02	$121.49	$218.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.56 / $148.47 / $201.55	Professional		$103.56	$148.47	$201.55
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 $128.88 / $188.49 / $336.90	Professional		$128.88	$188.49	$336.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $102.64 / $129.44 / $129.44	Professional		$102.64	$129.44	$129.44