Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $2,511.89 / $7,943.28	Facility		$169.82	$2,511.89	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $162.18 / $363.08	Professional		$93.33	$162.18	$363.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $144.54 / $223.87	Professional		$112.20	$144.54	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $77.62 / $169.82	Facility		$34.67	$77.62	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $162.18 / $309.03	Professional		$104.71	$162.18	$309.03
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,454.71 / $4,168.69	Facility		$1,513.56	$2,454.71	$4,168.69
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $112.20 / $151.36	Professional		$107.15	$112.20	$151.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $181.97	Professional		$32.36	$33.11	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $1,584.89 / $3,890.45	Facility		$269.15	$1,584.89	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $147.91 / $263.03	Professional		$93.33	$147.91	$263.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $117.49 / $151.36	Professional		$77.62	$117.49	$151.36