Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $2,691.53 / $7,943.28	Facility		$204.17	$2,691.53	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $120.23 / $275.42	Professional		$63.10	$120.23	$275.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $102.33 / $162.18	Professional		$81.28	$102.33	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $57.54 / $112.20	Facility		$34.67	$57.54	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $112.20 / $218.78	Professional		$67.61	$112.20	$218.78
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 $79.43 / $83.18 / $107.15	Professional		$79.43	$83.18	$107.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $39.81 / $128.82	Professional		$32.36	$39.81	$128.82
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 $63.10 / $100.00 / $181.97	Professional		$63.10	$100.00	$181.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $83.18 / $112.20	Professional		$50.12	$83.18	$112.20