Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.41 / $78.18 / $916.58	Facility		$49.41	$78.18	$916.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.68 / $69.03 / $98.89	Professional		$49.68	$69.03	$98.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.44 / $81.84 / $111.62	Professional		$77.44	$81.84	$111.62
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $174.85 / $174.85 / $174.85	Professional	50	$174.85	$174.85	$174.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.79 / $46.43 / $55.27	Facility		$45.79	$46.43	$55.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.91 / $86.34 / $160.07	Professional		$51.91	$86.34	$160.07
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,438.00 / $2,403.00 / $4,241.00	Facility		$1,438.00	$2,403.00	$4,241.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $39.72 / $74.41 / $92.86	Professional		$39.72	$74.41	$92.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.45 / $71.41 / $112.11	Professional		$52.45	$71.41	$112.11
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 $58.95 / $86.73 / $146.11	Professional		$58.95	$86.73	$146.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $59.75 / $59.75	Professional		$42.13	$59.75	$59.75