Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $2,818.38 / $6,918.31	Facility		$147.91	$2,818.38	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $257.04 / $660.69	Professional		$158.49	$257.04	$660.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $181.97 / $263.03	Professional		$151.36	$181.97	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $295.12 / $323.59	Facility		$34.67	$295.12	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $263.03 / $489.78	Professional		$162.18	$263.03	$489.78
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,380.38 / $1,513.56	Facility		$1,288.25	$1,380.38	$1,513.56
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $112.20 / $218.78	Professional		$104.71	$112.20	$218.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $218.78	Professional		$32.36	$33.11	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $1,737.80 / $4,168.69	Facility		$331.13	$1,737.80	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $234.42 / $389.05	Professional		$154.88	$234.42	$389.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $151.36	Professional		$131.83	$131.83	$151.36