Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $1,071.52 / $6,760.83	Facility		$257.04	$1,071.52	$6,760.83
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $446.68 / $1,318.26 / $9,120.11	Facility	50	$446.68	$1,318.26	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $64.57 / $147.91	Professional		$37.15	$64.57	$147.91
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $79.43 / $151.36 / $316.23	Professional	50	$79.43	$151.36	$316.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $52.48 / $72.44	Professional		$34.67	$52.48	$72.44
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $75.86 / $83.18 / $107.15	Professional	50	$75.86	$83.18	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $29.51 / $323.59	Facility		$28.18	$29.51	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $58.88 / $100.00	Professional		$36.31	$58.88	$100.00
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 $30.90 / $44.67 / $83.18	Professional		$30.90	$44.67	$83.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.11 / $75.86	Professional		$28.18	$33.11	$75.86
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 $31.62 / $47.86 / $85.11	Professional		$31.62	$47.86	$85.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $41.69 / $58.88	Professional		$28.18	$41.69	$58.88