Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.05 / $880.33 / $5,820.00	Facility		$221.05	$880.33	$5,820.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $391.64 / $511.56 / $1,810.56	Facility	50	$391.64	$511.56	$1,810.56
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $19.48 / $24.83 / $30.01	Facility	52	$19.48	$24.83	$30.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.40 / $63.26 / $137.44	Professional		$41.40	$63.26	$137.44
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $63.30 / $103.02 / $344.10	Professional	50	$63.30	$103.02	$344.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.87 / $69.98 / $104.68	Professional		$48.87	$69.98	$104.68
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $84.74 / $109.02 / $155.72	Professional	50	$84.74	$109.02	$155.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.07 / $33.60 / $323.00	Facility		$33.07	$33.60	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.88 / $71.16 / $120.07	Professional		$43.88	$71.16	$120.07
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 $33.50 / $63.39 / $99.02	Professional		$33.50	$63.39	$99.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.70 / $71.09 / $108.94	Professional		$51.70	$71.09	$108.94
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 $47.94 / $67.65 / $115.63	Professional		$47.94	$67.65	$115.63
United Facility/Professional Professional Modifier 50 Low / Median / High Price $80.00 / $85.00 / $133.88	Professional	50	$80.00	$85.00	$133.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $50.04 / $50.04	Professional		$34.72	$50.04	$50.04