Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.63 / $1,958.58 / $8,159.00	Facility		$135.63	$1,958.58	$8,159.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,083.35 / $1,951.50 / $4,881.22	Facility	50	$1,083.35	$1,951.50	$4,881.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.25 / $135.63 / $237.39	Professional		$69.25	$135.63	$237.39
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $163.43 / $275.52 / $1,168.08	Professional	50	$163.43	$275.52	$1,168.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.37 / $147.27 / $232.55	Professional		$77.37	$147.27	$232.55
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $116.06 / $220.91 / $348.82	Professional	50	$116.06	$220.91	$348.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.18 / $151.91 / $290.56	Professional		$78.18	$151.91	$290.56
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $952.00 / $2,669.00 / $6,584.00	Facility		$952.00	$2,669.00	$6,584.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $76.25 / $155.03 / $480.50	Professional		$76.25	$155.03	$480.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.12 / $142.75 / $222.41	Professional		$102.12	$142.75	$222.41
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 $119.64 / $172.76 / $305.51	Professional		$119.64	$172.76	$305.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $63.83 / $125.62 / $125.62	Professional		$63.83	$125.62	$125.62