Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.08 / $3,258.00 / $10,802.00	Facility		$147.08	$3,258.00	$10,802.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.19 / $155.08 / $249.88	Professional		$97.19	$155.08	$249.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $189.92 / $189.92 / $189.92	Professional		$189.92	$189.92	$189.92
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 $109.11 / $187.30 / $364.97	Professional		$109.11	$187.30	$364.97
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 $71.54 / $134.09 / $218.12	Professional		$71.54	$134.09	$218.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $123.56 / $183.72 / $296.35	Professional		$123.56	$183.72	$296.35
United Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,611.00 / $8,105.00	Facility		$803.00	$3,611.00	$8,105.00
United Facility/Professional Professional Modifier Low / Median / High Price $129.00 / $174.29 / $302.85	Professional		$129.00	$174.29	$302.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $148.85 / $148.85	Professional		$100.09	$148.85	$148.85