Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $363.08 / $1,548.82	Facility		$60.26	$363.08	$1,548.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $79.43 / $173.78	Professional		$47.86	$79.43	$173.78
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $229.09 / $436.52 / $524.81	Professional	50	$229.09	$436.52	$524.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $75.86 / $158.49	Professional		$47.86	$75.86	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $45.71 / $85.11	Facility		$34.67	$45.71	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $75.86 / $131.83	Professional		$46.77	$75.86	$131.83
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,862.09 / $3,162.28	Facility		$1,258.93	$1,862.09	$3,162.28
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $63.10 / $83.18	Professional		$37.15	$63.10	$83.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $42.66 / $104.71	Professional		$32.36	$42.66	$104.71
United Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $1,584.89 / $4,168.69	Facility		$263.03	$1,584.89	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $61.66 / $112.20	Professional		$40.74	$61.66	$112.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $57.54 / $85.11	Professional		$38.90	$57.54	$85.11