Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.37 / $3,063.00 / $11,481.00	Facility		$114.37	$3,063.00	$11,481.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.80 / $108.56 / $224.43	Professional		$62.80	$108.56	$224.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $130.29 / $130.29 / $178.96	Professional		$130.29	$130.29	$178.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.20 / $100.79 / $323.00	Facility		$99.20	$100.79	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.70 / $137.51 / $248.66	Professional		$72.70	$137.51	$248.66
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2,104.00 / $3,121.00 / $6,861.00	Facility		$2,104.00	$3,121.00	$6,861.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $92.66 / $106.73 / $188.87	Professional		$92.66	$106.73	$188.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.45 / $145.20 / $202.95	Professional		$97.45	$145.20	$202.95
United Facility/Professional Facility Modifier Low / Median / High Price $539.00 / $2,671.00 / $5,855.00	Facility		$539.00	$2,671.00	$5,855.00
United Facility/Professional Professional Modifier Low / Median / High Price $109.64 / $162.29 / $282.38	Professional		$109.64	$162.29	$282.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.96 / $115.41 / $115.41	Professional		$57.96	$115.41	$115.41