Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.02 / $2,101.94 / $7,944.00	Facility		$241.02	$2,101.94	$7,944.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $544.79 / $544.79 / $544.79	Facility	50	$544.79	$544.79	$544.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.74 / $109.76 / $211.54	Professional		$44.74	$109.76	$211.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $167.95 / $167.95 / $565.44	Professional	50	$167.95	$167.95	$565.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.04 / $81.37 / $147.19	Professional		$43.04	$81.37	$147.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.09 / $84.79 / $326.30	Facility		$47.09	$84.79	$326.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.14 / $129.91 / $265.86	Professional		$52.14	$129.91	$265.86
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $50.91 / $130.34 / $159.66	Facility		$50.91	$130.34	$159.66
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $102.90 / $167.21 / $273.33	Professional		$102.90	$167.21	$273.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.77 / $169.54 / $277.96	Professional		$107.77	$169.54	$277.96
United Facility/Professional Facility Modifier Low / Median / High Price $351.00 / $1,916.00 / $4,970.00	Facility		$351.00	$1,916.00	$4,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $112.25 / $165.69 / $310.70	Professional		$112.25	$165.69	$310.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $37.79 / $120.51 / $120.51	Professional		$37.79	$120.51	$120.51