Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $223.87 / $1,000.00	Facility		$15.85	$223.87	$1,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $28.18 / $64.57	Professional		$15.85	$28.18	$64.57
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $47.86 / $87.10 / $102.33	Professional	50	$47.86	$87.10	$102.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $27.54 / $51.29	Professional		$25.70	$27.54	$51.29
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $26.92 / $38.90 / $45.71	Professional	50	$26.92	$38.90	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $34.67	Facility		$13.80	$13.80	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $30.90 / $57.54	Professional		$16.98	$30.90	$57.54
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 $19.50 / $25.70 / $41.69	Professional		$19.50	$25.70	$41.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $32.36 / $38.02	Professional		$13.18	$32.36	$38.02
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 $16.22 / $28.18 / $48.98	Professional		$16.22	$28.18	$48.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $21.88 / $28.84	Professional		$13.18	$21.88	$28.84