Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.72 / $3,258.00 / $10,632.00	Facility		$121.72	$3,258.00	$10,632.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.13 / $140.63 / $212.29	Professional		$103.13	$140.63	$212.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $160.47 / $160.47 / $215.16	Professional		$160.47	$160.47	$215.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.95 / $90.60 / $323.00	Facility		$84.95	$90.60	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.62 / $169.29 / $320.08	Professional		$106.62	$169.29	$320.08
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,881.00 / $6,066.00	Facility		$1,735.00	$2,881.00	$6,066.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $69.26 / $115.43 / $201.18	Professional		$69.26	$115.43	$201.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.04 / $164.80 / $264.28	Professional		$115.04	$164.80	$264.28
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 $114.25 / $157.08 / $283.17	Professional		$114.25	$157.08	$283.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $124.60 / $124.60	Professional		$100.09	$124.60	$124.60