Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.83 / $3,063.00 / $10,632.00	Facility		$95.83	$3,063.00	$10,632.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.23 / $111.23 / $204.59	Professional		$80.23	$111.23	$204.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.94 / $127.05 / $165.17	Professional		$88.94	$127.05	$165.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.75 / $75.45 / $323.00	Facility		$70.75	$75.45	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.17 / $130.83 / $244.47	Professional		$83.17	$130.83	$244.47
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 $53.02 / $89.61 / $146.43	Professional		$53.02	$89.61	$146.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.02 / $109.59 / $182.56	Professional		$79.02	$109.59	$182.56
United Facility/Professional Facility Modifier Low / Median / High Price $270.00 / $1,911.00 / $4,970.00	Facility		$270.00	$1,911.00	$4,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $89.96 / $121.37 / $215.99	Professional		$89.96	$121.37	$215.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $78.13 / $98.81 / $98.81	Professional		$78.13	$98.81	$98.81