Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.14 / $4,755.00 / $11,576.00	Facility		$19.14	$4,755.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.43 / $49.60 / $81.15	Professional		$17.43	$49.60	$81.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $111.00 / $111.00 / $111.00	Professional		$111.00	$111.00	$111.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.04 / $29.04 / $204.77	Facility		$29.04	$29.04	$204.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.09 / $74.09 / $74.09	Professional		$74.09	$74.09	$74.09
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $31.90 / $39.03 / $86.55	Facility		$31.90	$39.03	$86.55
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $19.04 / $39.69 / $85.84	Professional		$19.04	$39.69	$85.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.45 / $102.93 / $160.01	Professional		$54.45	$102.93	$160.01
United Facility/Professional Professional Modifier Low / Median / High Price $38.04 / $65.73 / $132.47	Professional		$38.04	$65.73	$132.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.34 / $54.45 / $54.45	Professional		$16.34	$54.45	$54.45