Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $2,187.76 / $6,760.83	Facility		$257.04	$2,187.76	$6,760.83
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $537.03 / $537.03 / $537.03	Facility	50	$537.03	$537.03	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $190.55 / $489.78	Professional		$64.57	$190.55	$489.78
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $165.96 / $275.42 / $741.31	Professional	50	$165.96	$275.42	$741.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $102.33 / $223.87	Professional		$58.88	$102.33	$223.87
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $338.84 / $338.84 / $338.84	Professional	50	$338.84	$338.84	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $114.82 / $549.54	Facility		$34.67	$114.82	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $162.18 / $371.54	Professional		$72.44	$162.18	$371.54
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $204.17 / $208.93	Facility		$58.88	$204.17	$208.93
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $204.17 / $338.84	Professional		$141.25	$204.17	$338.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $51.29 / $309.03	Professional		$32.36	$51.29	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $1,548.82 / $3,890.45	Facility		$269.15	$1,548.82	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $154.88 / $346.74	Professional		$64.57	$154.88	$346.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $169.82 / $223.87	Professional		$51.29	$169.82	$223.87