Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.77 / $1,301.00 / $9,450.00	Facility		$48.77	$1,301.00	$9,450.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.88 / $51.79 / $83.11	Professional		$36.88	$51.79	$83.11
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $73.20 / $73.20 / $73.20	Professional	50	$73.20	$73.20	$73.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.65 / $55.42 / $69.28	Professional		$52.65	$55.42	$69.28
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $78.98 / $78.98 / $78.98	Professional	50	$78.98	$78.98	$78.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.61 / $29.07 / $323.00	Facility		$28.61	$29.07	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.92 / $62.32 / $101.91	Professional		$37.92	$62.32	$101.91
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 $25.01 / $50.90 / $66.48	Professional		$25.01	$50.90	$66.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.73 / $70.99 / $104.26	Professional		$49.73	$70.99	$104.26
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 $40.71 / $58.65 / $102.85	Professional		$40.71	$58.65	$102.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $29.36 / $44.17 / $44.17	Professional		$29.36	$44.17	$44.17