Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.40 / $1,378.53 / $6,950.00	Facility		$218.40	$1,378.53	$6,950.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.89 / $100.66 / $279.00	Professional		$50.89	$100.66	$279.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.46 / $77.58 / $260.86	Professional		$44.46	$77.58	$260.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.72 / $98.11 / $300.38	Facility		$43.72	$98.11	$300.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.88 / $136.80 / $337.33	Professional		$56.88	$136.80	$337.33
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $103.81 / $147.41 / $1,656.58	Facility		$103.81	$147.41	$1,656.58
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $94.37 / $157.29 / $322.74	Professional		$94.37	$157.29	$322.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $123.53 / $237.33 / $395.40	Professional		$123.53	$237.33	$395.40
United Facility/Professional Facility Modifier Low / Median / High Price $351.00 / $1,916.00 / $4,970.00	Facility		$351.00	$1,916.00	$4,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $109.96 / $192.46 / $361.94	Professional		$109.96	$192.46	$361.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $44.68 / $132.66 / $132.66	Professional		$44.68	$132.66	$132.66