Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.15 / $1,203.00 / $7,433.00	Facility		$81.15	$1,203.00	$7,433.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $21.42 / $868.28 / $4,308.00	Facility	50	$21.42	$868.28	$4,308.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.10 / $82.65 / $165.04	Professional		$55.10	$82.65	$165.04
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $121.73 / $350.83 / $1,174.20	Professional	50	$121.73	$350.83	$1,174.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.70 / $112.96 / $156.47	Professional		$90.70	$112.96	$156.47
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $136.05 / $169.86 / $234.73	Professional	50	$136.05	$169.86	$234.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.69 / $55.57 / $323.00	Facility		$54.69	$55.57	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.30 / $100.66 / $167.08	Professional		$59.30	$100.66	$167.08
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,434.00 / $2,399.00 / $4,241.00	Facility		$1,434.00	$2,399.00	$4,241.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $42.77 / $89.09 / $109.97	Professional		$42.77	$89.09	$109.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.62 / $107.01 / $164.38	Professional		$74.62	$107.01	$164.38
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 $68.63 / $99.63 / $172.14	Professional		$68.63	$99.63	$172.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $45.19 / $76.09 / $76.09	Professional		$45.19	$76.09	$76.09