Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $3,714.00 / $10,632.00	Facility		$540.00	$3,714.00	$10,632.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.23 / $90.06 / $159.16	Professional		$80.23	$90.06	$159.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $277.02 / $277.02 / $277.02	Professional		$277.02	$277.02	$277.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $705.99 / $840.46	Facility		$323.00	$705.99	$840.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.72 / $128.99 / $199.25	Professional		$82.72	$128.99	$199.25
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2,561.00 / $4,821.00 / $9,360.00	Facility		$2,561.00	$4,821.00	$9,360.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $64.64 / $69.26 / $121.81	Professional		$64.64	$69.26	$121.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.67 / $91.60 / $139.72	Professional		$58.67	$91.60	$139.72
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 $78.56 / $112.72 / $193.65	Professional		$78.56	$112.72	$193.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $73.28 / $73.28 / $73.28	Professional		$73.28	$73.28	$73.28