Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.96 / $2,747.00 / $10,632.00	Facility		$61.96	$2,747.00	$10,632.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $0.56 / $703.12 / $703.12	Facility	50	$0.56	$703.12	$703.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.29 / $62.27 / $106.90	Professional		$41.29	$62.27	$106.90
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $184.50 / $248.57 / $937.44	Professional	50	$184.50	$248.57	$937.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.86 / $73.27 / $107.72	Professional		$53.86	$73.27	$107.72
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $161.57 / $161.57 / $161.57	Professional	50	$161.57	$161.57	$161.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.38 / $48.14 / $323.00	Facility		$47.38	$48.14	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.74 / $79.54 / $132.15	Professional		$44.74	$79.54	$132.15
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,438.00 / $2,406.00 / $4,309.00	Facility		$1,438.00	$2,406.00	$4,309.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $66.20 / $88.92	Professional		$33.11	$66.20	$88.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.70 / $71.41 / $112.68	Professional		$51.70	$71.41	$112.68
United Facility/Professional Facility Modifier Low / Median / High Price $366.00 / $1,950.00 / $5,107.00	Facility		$366.00	$1,950.00	$5,107.00
United Facility/Professional Professional Modifier Low / Median / High Price $54.82 / $77.81 / $134.00	Professional		$54.82	$77.81	$134.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $35.49 / $63.83 / $63.83	Professional		$35.49	$63.83	$63.83