Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.72 / $2,815.00 / $11,481.00	Facility		$115.72	$2,815.00	$11,481.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.16 / $116.56 / $230.72	Professional		$88.16	$116.56	$230.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $133.66 / $143.35 / $187.27	Professional		$133.66	$143.35	$187.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.63 / $77.86 / $323.00	Facility		$76.63	$77.86	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.61 / $155.91 / $265.27	Professional		$100.61	$155.91	$265.27
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 $98.93 / $110.16 / $193.76	Professional		$98.93	$110.16	$193.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.40 / $144.97 / $201.55	Professional		$100.40	$144.97	$201.55
United Facility/Professional Facility Modifier Low / Median / High Price $331.00 / $1,952.00 / $4,970.00	Facility		$331.00	$1,952.00	$4,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $116.37 / $167.52 / $291.30	Professional		$116.37	$167.52	$291.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $76.84 / $116.17 / $116.17	Professional		$76.84	$116.17	$116.17