Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $348.98 / $5,760.00 / $12,916.00	Facility		$348.98	$5,760.00	$12,916.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.98 / $213.21 / $457.61	Professional		$185.98	$213.21	$457.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $234.15 / $253.37 / $326.93	Professional		$234.15	$253.37	$326.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.93 / $291.13 / $466.60	Professional		$181.93	$291.13	$466.60
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2,607.11 / $2,780.91 / $3,006.86	Facility		$2,607.11	$2,780.91	$3,006.86
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $106.28 / $215.55 / $265.17	Professional		$106.28	$215.55	$265.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $175.08 / $232.53 / $348.51	Professional		$175.08	$232.53	$348.51
United Facility/Professional Facility Modifier Low / Median / High Price $366.00 / $2,020.00 / $8,400.00	Facility		$366.00	$2,020.00	$8,400.00
United Facility/Professional Professional Modifier Low / Median / High Price $163.46 / $231.61 / $433.71	Professional		$163.46	$231.61	$433.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $161.62 / $206.31	Professional		$161.62	$161.62	$206.31