Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.81 / $3,087.00 / $10,632.00	Facility		$150.81	$3,087.00	$10,632.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.15 / $175.36 / $265.17	Professional		$127.15	$175.36	$265.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $264.23 / $264.23 / $264.23	Professional		$264.23	$264.23	$264.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.05 / $117.36 / $323.00	Facility		$110.05	$117.36	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.11 / $209.19 / $397.17	Professional		$132.11	$209.19	$397.17
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 $85.56 / $142.60 / $249.14	Professional		$85.56	$142.60	$249.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $139.69 / $202.68 / $325.85	Professional		$139.69	$202.68	$325.85
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 $140.37 / $190.75 / $351.98	Professional		$140.37	$190.75	$351.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $123.83 / $155.24 / $155.24	Professional		$123.83	$155.24	$155.24