Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.81 / $3,153.00 / $10,632.00	Facility		$164.81	$3,153.00	$10,632.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.12 / $164.81 / $275.68	Professional		$102.12	$164.81	$275.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.20 / $65.20 / $209.18	Professional		$65.20	$65.20	$209.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.35 / $145.41 / $323.00	Facility		$136.35	$145.41	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.40 / $202.11 / $406.62	Professional		$111.40	$202.11	$406.62
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 $88.56 / $147.72 / $260.58	Professional		$88.56	$147.72	$260.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $151.64 / $219.20 / $356.32	Professional		$151.64	$219.20	$356.32
United Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,611.00 / $6,550.00	Facility		$803.00	$3,611.00	$6,550.00
United Facility/Professional Professional Modifier Low / Median / High Price $153.27 / $203.10 / $365.74	Professional		$153.27	$203.10	$365.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $100.60 / $163.66 / $163.66	Professional		$100.60	$163.66	$163.66