Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.49 / $3,063.00 / $10,086.00	Facility		$202.49	$3,063.00	$10,086.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.88 / $196.99 / $321.41	Professional		$104.88	$196.99	$321.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $110.30 / $153.58 / $210.20	Professional		$110.30	$153.58	$210.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $198.57 / $198.57 / $686.87	Facility		$198.57	$198.57	$686.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.60 / $227.97 / $447.66	Professional		$124.60	$227.97	$447.66
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2,104.00 / $3,151.00 / $7,804.00	Facility		$2,104.00	$3,151.00	$7,804.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $163.49 / $256.83 / $332.21	Professional		$163.49	$256.83	$332.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $158.27 / $239.28 / $403.59	Professional		$158.27	$239.28	$403.59
United Facility/Professional Facility Modifier Low / Median / High Price $541.00 / $2,671.00 / $6,077.00	Facility		$541.00	$2,671.00	$6,077.00
United Facility/Professional Professional Modifier Low / Median / High Price $173.17 / $277.14 / $512.10	Professional		$173.17	$277.14	$512.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $88.85 / $189.45 / $189.45	Professional		$88.85	$189.45	$189.45