Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.63 / $2,366.00 / $8,529.00	Facility		$177.63	$2,366.00	$8,529.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.38 / $149.57 / $301.27	Professional		$61.38	$149.57	$301.27
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $229.60 / $778.17 / $778.17	Professional	50	$229.60	$778.17	$778.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.65 / $144.76 / $209.35	Professional		$58.65	$144.76	$209.35
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $278.42 / $278.42 / $278.42	Professional	50	$278.42	$278.42	$278.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.73 / $115.83 / $470.12	Facility		$64.73	$115.83	$470.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.25 / $153.16 / $356.06	Professional		$70.25	$153.16	$356.06
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $50.91 / $187.77 / $210.07	Facility		$50.91	$187.77	$210.07
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $146.28 / $231.74 / $378.45	Professional		$146.28	$231.74	$378.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $135.62 / $203.70 / $342.64	Professional		$135.62	$203.70	$342.64
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 $157.11 / $232.19 / $453.08	Professional		$157.11	$232.19	$453.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $51.83 / $171.07 / $171.07	Professional		$51.83	$171.07	$171.07