Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $394.00 / $3,401.00 / $11,576.00	Facility		$394.00	$3,401.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $76.98 / $163.90	Professional		$65.50	$76.98	$163.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.64 / $71.64 / $71.64	Professional		$71.64	$71.64	$71.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $400.00 / $10,000.00	Facility		$323.00	$400.00	$10,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.95 / $102.25 / $158.72	Professional		$65.95	$102.25	$158.72
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $9,624.00 / $21,162.00 / $32,051.00	Facility		$9,624.00	$21,162.00	$32,051.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $40.49 / $55.10 / $99.36	Professional		$40.49	$55.10	$99.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.22 / $74.32 / $101.79	Professional		$52.22	$74.32	$101.79
United Facility/Professional Facility Modifier Low / Median / High Price $677.00 / $5,350.00 / $13,093.00	Facility		$677.00	$5,350.00	$13,093.00
United Facility/Professional Professional Modifier Low / Median / High Price $64.67 / $94.91 / $173.86	Professional		$64.67	$94.91	$173.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.45 / $57.45 / $57.45	Professional		$57.45	$57.45	$57.45