Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $100.00 / $691.83	Facility		$28.84	$100.00	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $79.43 / $141.25	Professional		$30.90	$79.43	$141.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $79.43 / $131.83	Professional		$67.61	$79.43	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $64.57 / $323.59	Facility		$34.67	$64.57	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $79.43 / $194.98	Professional		$35.48	$79.43	$194.98
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,511.89 / $4,365.16	Facility		$1,548.82	$2,511.89	$4,365.16
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $87.10 / $131.83	Professional		$66.07	$87.10	$131.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $33.11 / $112.20	Professional		$26.30	$33.11	$112.20
United Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $1,584.89 / $4,168.69	Facility		$269.15	$1,584.89	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $75.86 / $165.96	Professional		$29.51	$75.86	$165.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $69.18 / $100.00	Professional		$26.30	$69.18	$100.00