Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.47 / $2,815.00 / $10,632.00	Facility		$216.47	$2,815.00	$10,632.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.19 / $216.47 / $367.15	Professional		$90.19	$216.47	$367.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $215.49 / $247.83 / $266.06	Professional		$215.49	$247.83	$266.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.65 / $159.59 / $323.00	Facility		$149.65	$159.59	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.89 / $221.16 / $470.99	Professional		$95.89	$221.16	$470.99
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 $104.39 / $188.59 / $305.22	Professional		$104.39	$188.59	$305.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.88 / $226.28 / $389.26	Professional		$34.88	$226.28	$389.26
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 $152.46 / $253.34 / $450.69	Professional		$152.46	$253.34	$450.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $89.11 / $210.64 / $210.64	Professional		$89.11	$210.64	$210.64