Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $2,818.38 / $7,943.28	Facility		$549.54	$2,818.38	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $138.04 / $331.13	Professional		$95.50	$138.04	$331.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $125.89 / $154.88	Professional		$102.33	$125.89	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $75.86 / $323.59	Facility		$74.13	$75.86	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $131.83 / $263.03	Professional		$81.28	$131.83	$263.03
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,454.71 / $4,168.69	Facility		$1,513.56	$2,454.71	$4,168.69
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $97.72 / $147.91	Professional		$56.23	$97.72	$147.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $147.91	Professional		$32.36	$33.11	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $1,548.82 / $3,890.45	Facility		$251.19	$1,548.82	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $109.65 / $190.55	Professional		$77.62	$109.65	$190.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $97.72 / $125.89	Professional		$77.62	$97.72	$125.89