Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.65 / $3,063.00 / $10,632.00	Facility		$89.65	$3,063.00	$10,632.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.27 / $112.68 / $170.01	Professional		$68.27	$112.68	$170.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $102.59 / $131.84	Professional		$51.31	$102.59	$131.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $1,210.38 / $1,440.93	Facility		$323.00	$1,210.38	$1,440.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.31 / $130.02 / $238.70	Professional		$76.31	$130.02	$238.70
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $3,105.00 / $5,731.00 / $11,037.00	Facility		$3,105.00	$5,731.00	$11,037.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $62.57 / $88.94 / $150.04	Professional		$62.57	$88.94	$150.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $101.57 / $142.82 / $243.63	Professional		$101.57	$142.82	$243.63
United Facility/Professional Facility Modifier Low / Median / High Price $345.00 / $1,911.00 / $4,970.00	Facility		$345.00	$1,911.00	$4,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $90.38 / $122.92 / $229.80	Professional		$90.38	$122.92	$229.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.66 / $91.15 / $91.15	Professional		$67.66	$91.15	$91.15