Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.68 / $2,815.00 / $10,632.00	Facility		$68.68	$2,815.00	$10,632.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.89 / $74.00 / $106.29	Professional		$58.89	$74.00	$106.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.56 / $81.56 / $87.09	Professional		$81.56	$81.56	$87.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.15 / $45.87 / $323.00	Facility		$45.15	$45.87	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.85 / $100.28 / $163.96	Professional		$62.85	$100.28	$163.96
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 $38.14 / $76.95 / $97.75	Professional		$38.14	$76.95	$97.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.93 / $72.53 / $116.07	Professional		$54.93	$72.53	$116.07
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 $63.15 / $90.97 / $160.58	Professional		$63.15	$90.97	$160.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $51.55 / $66.95 / $66.95	Professional		$51.55	$66.95	$66.95