Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.84 / $2,815.00 / $10,632.00	Facility		$168.84	$2,815.00	$10,632.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.36 / $168.84 / $255.32	Professional		$72.36	$168.84	$255.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $143.76 / $143.76 / $143.76	Professional		$143.76	$143.76	$143.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $370.55 / $441.13	Facility		$323.00	$370.55	$441.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.47 / $166.52 / $354.61	Professional		$78.47	$166.52	$354.61
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2,104.00 / $3,158.00 / $7,922.00	Facility		$2,104.00	$3,158.00	$7,922.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $95.99 / $191.97 / $244.03	Professional		$95.99	$191.97	$244.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $250.66 / $375.78	Professional		$175.00	$250.66	$375.78
United Facility/Professional Facility Modifier Low / Median / High Price $591.00 / $2,671.00 / $6,077.00	Facility		$591.00	$2,671.00	$6,077.00
United Facility/Professional Professional Modifier Low / Median / High Price $153.91 / $222.55 / $387.44	Professional		$153.91	$222.55	$387.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $63.07 / $166.98 / $166.98	Professional		$63.07	$166.98	$166.98