Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.38 / $350.08 / $2,031.00	Facility		$59.38	$350.08	$2,031.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.38 / $62.09 / $100.31	Professional		$43.38	$62.09	$100.31
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $186.15 / $186.15 / $186.15	Professional	50	$186.15	$186.15	$186.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.56 / $97.44 / $183.50	Professional		$68.56	$97.44	$183.50
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $91.96 / $91.96 / $91.96	Professional	50	$91.96	$91.96	$91.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.83 / $45.46 / $54.12	Facility		$44.83	$45.46	$54.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.70 / $76.72 / $125.32	Professional		$47.70	$76.72	$125.32
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 $29.89 / $59.78 / $80.44	Professional		$29.89	$59.78	$80.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.70 / $71.41 / $109.63	Professional		$51.70	$71.41	$109.63
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 $51.56 / $72.16 / $129.29	Professional		$51.56	$72.16	$129.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $38.81 / $57.70 / $57.70	Professional		$38.81	$57.70	$57.70