Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.72 / $3,258.00 / $10,802.00	Facility		$183.72	$3,258.00	$10,802.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.32 / $216.30 / $346.27	Professional		$163.32	$216.30	$346.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $376.23 / $376.23 / $376.23	Professional		$376.23	$376.23	$376.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.80 / $123.49 / $323.00	Facility		$115.80	$123.49	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.47 / $259.18 / $484.17	Professional		$169.47	$259.18	$484.17
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,424.00 / $2,394.00 / $4,241.00	Facility		$1,424.00	$2,394.00	$4,241.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $106.91 / $178.16 / $288.93	Professional		$106.91	$178.16	$288.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $155.91 / $236.61 / $386.02	Professional		$155.91	$236.61	$386.02
United Facility/Professional Facility Modifier Low / Median / High Price $263.00 / $1,950.00 / $4,970.00	Facility		$263.00	$1,950.00	$4,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $174.15 / $236.34 / $450.44	Professional		$174.15	$236.34	$450.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $166.73 / $187.41 / $187.41	Professional		$166.73	$187.41	$187.41