Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.07 / $1,632.63 / $8,159.00	Facility		$131.07	$1,632.63	$8,159.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.95 / $139.37 / $269.58	Professional		$111.95	$139.37	$269.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $133.69 / $143.40 / $250.38	Professional		$133.69	$143.40	$250.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.40 / $68.48 / $323.00	Facility		$67.40	$68.48	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.02 / $187.02 / $299.66	Professional		$119.02	$187.02	$299.66
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,438.00 / $2,406.00 / $4,309.00	Facility		$1,438.00	$2,406.00	$4,309.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $71.83 / $144.88 / $183.76	Professional		$71.83	$144.88	$183.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $124.69 / $178.33 / $264.62	Professional		$124.69	$178.33	$264.62
United Facility/Professional Facility Modifier Low / Median / High Price $366.00 / $1,950.00 / $5,107.00	Facility		$366.00	$1,950.00	$5,107.00
United Facility/Professional Professional Modifier Low / Median / High Price $117.50 / $167.12 / $286.80	Professional		$117.50	$167.12	$286.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $94.73 / $117.45 / $117.45	Professional		$94.73	$117.45	$117.45