Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.50 / $2,366.00 / $10,086.00	Facility		$59.50	$2,366.00	$10,086.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $851.47 / $851.47 / $878.43	Facility	50	$851.47	$851.47	$878.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.46 / $69.98 / $127.71	Professional		$51.46	$69.98	$127.71
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $113.21 / $375.72 / $765.94	Professional	50	$113.21	$375.72	$765.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.54 / $95.14 / $132.06	Professional		$76.54	$95.14	$132.06
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $114.81 / $142.69 / $181.28	Professional	50	$114.81	$142.69	$181.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.52 / $45.23 / $323.00	Facility		$44.52	$45.23	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.24 / $88.18 / $143.58	Professional		$56.24	$88.18	$143.58
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,438.00 / $2,403.00 / $4,241.00	Facility		$1,438.00	$2,403.00	$4,241.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $32.84 / $65.19 / $89.79	Professional		$32.84	$65.19	$89.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.45 / $72.12 / $112.95	Professional		$52.45	$72.12	$112.95
United Facility/Professional Facility Modifier Low / Median / High Price $351.00 / $1,916.00 / $5,107.00	Facility		$351.00	$1,916.00	$5,107.00
United Facility/Professional Professional Modifier Low / Median / High Price $56.89 / $80.87 / $146.25	Professional		$56.89	$80.87	$146.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $43.66 / $63.83 / $63.83	Professional		$43.66	$63.83	$63.83