Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.82 / $3,276.00 / $11,576.00	Facility		$26.82	$3,276.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.82 / $36.59 / $62.55	Professional		$26.82	$36.59	$62.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.61 / $33.61 / $55.87	Professional		$33.61	$33.61	$55.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.98 / $42.91 / $86.47	Professional		$27.98	$42.91	$86.47
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 $17.72 / $29.50 / $51.47	Professional		$17.72	$29.50	$51.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.04 / $36.48 / $59.41	Professional		$26.04	$36.48	$59.41
United Facility/Professional Facility Modifier Low / Median / High Price $320.44 / $1,911.00 / $4,970.00	Facility		$320.44	$1,911.00	$4,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $29.67 / $39.51 / $70.17	Professional		$29.67	$39.51	$70.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.04 / $31.66 / $31.66	Professional		$26.04	$31.66	$31.66