Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.21 / $3,286.00 / $10,694.09	Facility		$222.21	$3,286.00	$10,694.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.72 / $217.81 / $370.51	Professional		$109.72	$217.81	$370.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $115.06 / $115.06 / $219.51	Professional		$115.06	$115.06	$219.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $207.15 / $207.15 / $746.73	Facility		$207.15	$207.15	$746.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.08 / $244.60 / $488.17	Professional		$128.08	$244.60	$488.17
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 $178.22 / $280.17 / $361.32	Professional		$178.22	$280.17	$361.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $180.73 / $271.83 / $449.79	Professional		$180.73	$271.83	$449.79
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 $213.86 / $320.31 / $561.36	Professional		$213.86	$320.31	$561.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $92.68 / $206.81 / $206.81	Professional		$92.68	$206.81	$206.81