Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $3,235.94 / $10,000.00	Facility		$109.65	$3,235.94	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $125.89 / $245.47	Professional		$64.57	$125.89	$245.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $104.71 / $323.59	Facility		$34.67	$104.71	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $128.82 / $251.19	Professional		$67.61	$128.82	$251.19
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $53.70 / $58.88	Facility		$51.29	$53.70	$58.88
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $114.82 / $169.82	Professional		$85.11	$114.82	$169.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $48.98 / $173.78	Professional		$32.36	$48.98	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $1,778.28 / $4,168.69	Facility		$346.74	$1,778.28	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $114.82 / $218.78	Professional		$61.66	$114.82	$218.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $95.50 / $151.36	Professional		$45.71	$95.50	$151.36