Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.65 / $2,746.00 / $10,632.00	Facility		$149.65	$2,746.00	$10,632.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.24 / $149.61 / $228.10	Professional		$97.24	$149.61	$228.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $290.30 / $290.30 / $366.60	Professional		$290.30	$290.30	$366.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.14 / $122.84 / $146.24	Facility		$121.14	$122.84	$146.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.78 / $189.54 / $329.79	Professional		$119.78	$189.54	$329.79
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2,104.00 / $3,121.00 / $6,861.00	Facility		$2,104.00	$3,121.00	$6,861.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $122.36 / $128.88 / $230.60	Professional		$122.36	$128.88	$230.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $113.10 / $180.68 / $278.26	Professional		$113.10	$180.68	$278.26
United Facility/Professional Facility Modifier Low / Median / High Price $539.00 / $2,669.00 / $5,507.00	Facility		$539.00	$2,669.00	$5,507.00
United Facility/Professional Professional Modifier Low / Median / High Price $142.91 / $210.31 / $366.40	Professional		$142.91	$210.31	$366.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $97.02 / $141.19 / $141.19	Professional		$97.02	$141.19	$141.19