Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.74 / $4,594.00 / $11,576.00	Facility		$265.74	$4,594.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.91 / $265.74 / $392.95	Professional		$160.91	$265.74	$392.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $167.24 / $167.24 / $317.13	Professional		$167.24	$167.24	$317.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $201.26 / $204.50 / $432.00	Facility		$201.26	$204.50	$432.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.55 / $336.91 / $606.44	Professional		$181.55	$336.91	$606.44
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $4,169.00 / $8,416.00 / $15,897.00	Facility		$4,169.00	$8,416.00	$15,897.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $231.66 / $248.20 / $436.57	Professional		$231.66	$248.20	$436.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $245.84 / $378.63 / $516.39	Professional		$245.84	$378.63	$516.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,681.00 / $5,811.00 / $10,057.00	Facility		$1,681.00	$5,811.00	$10,057.00
United Facility/Professional Professional Modifier Low / Median / High Price $274.38 / $407.14 / $699.61	Professional		$274.38	$407.14	$699.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $140.43 / $264.01 / $264.01	Professional		$140.43	$264.01	$264.01