Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.74 / $346.56 / $2,133.00	Facility		$55.74	$346.56	$2,133.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $121.44 / $290.87 / $359.52	Facility	50	$121.44	$290.87	$359.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.81 / $55.79 / $98.16	Professional		$34.81	$55.79	$98.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.46 / $77.87 / $145.62	Professional		$63.46	$77.87	$145.62
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $225.00 / $225.00 / $225.00	Professional	50	$225.00	$225.00	$225.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $66.95 / $115.75	Professional		$39.86	$66.95	$115.75
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,146.00 / $1,735.00 / $3,029.00	Facility		$1,146.00	$1,735.00	$3,029.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $28.48 / $56.96 / $73.09	Professional		$28.48	$56.96	$73.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.83 / $106.15 / $158.05	Professional		$67.83	$106.15	$158.05
United Facility/Professional Facility Modifier Low / Median / High Price $366.00 / $1,916.00 / $5,107.00	Facility		$366.00	$1,916.00	$5,107.00
United Facility/Professional Professional Modifier Low / Median / High Price $45.12 / $64.61 / $114.12	Professional		$45.12	$64.61	$114.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $31.40 / $53.11 / $53.11	Professional		$31.40	$53.11	$53.11