Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.92 / $953.19 / $7,944.00	Facility		$44.92	$953.19	$7,944.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $426.48 / $1,317.60 / $9,161.78	Facility	50	$426.48	$1,317.60	$9,161.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.54 / $50.48 / $94.95	Professional		$33.54	$50.48	$94.95
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $110.19 / $193.54 / $337.50	Professional	50	$110.19	$193.54	$337.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.31 / $53.14 / $79.28	Professional		$43.31	$53.14	$79.28
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $75.31 / $79.70 / $107.02	Professional	50	$75.31	$79.70	$107.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.30 / $28.75 / $323.00	Facility		$28.30	$28.75	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.19 / $58.65 / $98.08	Professional		$36.19	$58.65	$98.08
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,415.00 / $2,394.00 / $4,241.00	Facility		$1,415.00	$2,394.00	$4,241.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $25.35 / $52.85 / $82.25	Professional		$25.35	$52.85	$82.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.45 / $70.99 / $104.26	Professional		$49.45	$70.99	$104.26
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 $40.25 / $54.96 / $96.59	Professional		$40.25	$54.96	$96.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.09 / $42.13 / $42.13	Professional		$28.09	$42.13	$42.13