Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.64 / $23.86 / $458.28	Facility		$15.64	$23.86	$458.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.09 / $25.65 / $37.29	Professional		$16.09	$25.65	$37.29
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $48.35 / $48.35 / $48.35	Professional	50	$48.35	$48.35	$48.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.76 / $26.80 / $49.42	Professional		$25.76	$26.80	$49.42
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $36.50 / $40.20 / $44.91	Professional	50	$36.50	$40.20	$44.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.67 / $13.87 / $16.51	Facility		$13.67	$13.87	$16.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.23 / $31.07 / $65.70	Professional		$16.23	$31.07	$65.70
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 $17.55 / $27.13 / $41.46	Professional		$17.55	$27.13	$41.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.60 / $21.92 / $44.84	Professional		$14.60	$21.92	$44.84
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 $21.75 / $33.22 / $54.75	Professional		$21.75	$33.22	$54.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.28 / $21.70 / $21.70	Professional		$13.28	$21.70	$21.70