Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $2,818.38 / $8,128.31	Facility		$380.19	$2,818.38	$8,128.31
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $0.56 / $0.56 / $707.95	Facility	50	$0.56	$0.56	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $81.28 / $218.78	Professional		$42.66	$81.28	$218.78
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $114.82 / $245.47 / $891.25	Professional	50	$114.82	$245.47	$891.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $79.43 / $104.71	Professional		$61.66	$79.43	$104.71
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $109.65 / $134.90 / $177.83	Professional	50	$109.65	$134.90	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $47.86 / $323.59	Facility		$34.67	$47.86	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $79.43 / $138.04	Professional		$46.77	$79.43	$138.04
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,511.89 / $4,365.16	Facility		$1,548.82	$2,511.89	$4,365.16
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $66.07 / $87.10	Professional		$40.74	$66.07	$87.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $35.48 / $112.20	Professional		$32.36	$35.48	$112.20
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 $38.90 / $64.57 / $117.49	Professional		$38.90	$64.57	$117.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $64.57 / $89.13	Professional		$35.48	$64.57	$89.13