Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.92 / $3,276.00 / $11,481.00	Facility		$202.92	$3,276.00	$11,481.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.34 / $264.67 / $380.49	Professional		$192.34	$264.67	$380.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $207.29 / $248.62 / $484.89	Professional		$207.29	$248.62	$484.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $359.94 / $383.16 / $406.38	Facility		$359.94	$383.16	$406.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.57 / $277.83 / $418.71	Professional		$200.57	$277.83	$418.71
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $128.76 / $196.93 / $299.70	Professional		$128.76	$196.93	$299.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $206.65 / $273.55 / $365.40	Professional		$206.65	$273.55	$365.40
United Facility/Professional Facility Modifier Low / Median / High Price $366.00 / $1,950.00 / $4,970.00	Facility		$366.00	$1,950.00	$4,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $173.57 / $235.70 / $408.21	Professional		$173.57	$235.70	$408.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $223.34 / $223.34 / $223.34	Professional		$223.34	$223.34	$223.34