Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $1,148.15 / $6,760.83	Facility		$38.90	$1,148.15	$6,760.83
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $398.11 / $1,148.15 / $1,995.26	Facility	50	$398.11	$1,148.15	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $61.66 / $144.54	Professional		$34.67	$61.66	$144.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $50.12 / $125.89 / $269.15	Professional	50	$50.12	$125.89	$269.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $52.48 / $75.86	Professional		$30.20	$52.48	$75.86
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $54.95 / $81.28 / $123.03	Professional	50	$54.95	$81.28	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $323.59	Facility		$28.18	$28.18	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $56.23 / $95.50	Professional		$34.67	$56.23	$95.50
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,454.71 / $4,168.69	Facility		$1,445.44	$2,454.71	$4,168.69
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $43.65 / $74.13	Professional		$28.84	$43.65	$74.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $33.11 / $74.13	Professional		$27.54	$33.11	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $1,584.89 / $4,168.69	Facility		$269.15	$1,584.89	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $45.71 / $81.28	Professional		$30.20	$45.71	$81.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $41.69 / $57.54	Professional		$27.54	$41.69	$57.54