Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.33 / $2,948.00 / $10,632.00	Facility		$196.33	$2,948.00	$10,632.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $0.55 / $1,552.03 / $3,081.42	Facility	50	$0.55	$1,552.03	$3,081.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $175.82 / $352.81	Professional		$71.20	$175.82	$352.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $292.43 / $292.43 / $292.43	Professional		$292.43	$292.43	$292.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.17 / $78.06 / $138.81	Facility		$74.17	$78.06	$138.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.26 / $199.94 / $462.91	Professional		$84.26	$199.94	$462.91
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $50.91 / $244.48 / $262.04	Facility		$50.91	$244.48	$262.04
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $193.01 / $279.86 / $375.32	Professional		$193.01	$279.86	$375.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $120.46 / $305.19 / $499.55	Professional		$120.46	$305.19	$499.55
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 $200.02 / $301.70 / $589.66	Professional		$200.02	$301.70	$589.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $62.30 / $109.51 / $109.51	Professional		$62.30	$109.51	$109.51