Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.56 / $113.54 / $926.25	Facility		$74.56	$113.54	$926.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.56 / $94.68 / $133.72	Professional		$74.56	$94.68	$133.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $205.02 / $205.02 / $205.02	Professional		$205.02	$205.02	$205.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.01 / $502.48 / $842.32	Facility		$100.01	$502.48	$842.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.20 / $108.35 / $205.43	Professional		$72.20	$108.35	$205.43
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $94.86 / $282.64 / $453.04	Facility		$94.86	$282.64	$453.04
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $68.34 / $107.77 / $131.05	Professional		$68.34	$107.77	$131.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.74 / $79.02 / $139.05	Professional		$35.74	$79.02	$139.05
United Facility/Professional Facility Modifier Low / Median / High Price $298.67 / $859.16 / $1,933.11	Facility		$298.67	$859.16	$1,933.11
United Facility/Professional Professional Modifier Low / Median / High Price $75.92 / $93.70 / $186.98	Professional		$75.92	$93.70	$186.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $59.16 / $59.16 / $59.16	Professional		$59.16	$59.16	$59.16