Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.73 / $2,084.00 / $10,086.00	Facility		$68.73	$2,084.00	$10,086.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $476.85 / $9,546.32 / $9,546.32	Facility	50	$476.85	$9,546.32	$9,546.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.02 / $69.38 / $118.96	Professional		$47.02	$69.38	$118.96
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $860.25 / $860.25 / $887.22	Professional	50	$860.25	$860.25	$887.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.08 / $96.12 / $141.37	Professional		$60.08	$96.12	$141.37
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $122.91 / $174.66 / $212.06	Professional	50	$122.91	$174.66	$212.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.91 / $50.72 / $323.00	Facility		$49.91	$50.72	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.51 / $89.05 / $146.69	Professional		$50.51	$89.05	$146.69
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2,104.00 / $3,151.00 / $7,804.00	Facility		$2,104.00	$3,151.00	$7,804.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $36.75 / $75.93 / $96.13	Professional		$36.75	$75.93	$96.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.59 / $106.60 / $158.05	Professional		$73.59	$106.60	$158.05
United Facility/Professional Facility Modifier Low / Median / High Price $591.00 / $2,671.00 / $6,077.00	Facility		$591.00	$2,671.00	$6,077.00
United Facility/Professional Professional Modifier Low / Median / High Price $61.32 / $86.51 / $155.47	Professional		$61.32	$86.51	$155.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $68.94 / $68.94	Professional		$39.83	$68.94	$68.94