Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.86 / $137.97 / $410.09	Facility		$25.86	$137.97	$410.09
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $237.32 / $336.90 / $877.96	Facility	50	$237.32	$336.90	$877.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.86 / $44.64 / $71.41	Professional		$25.86	$44.64	$71.41
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $212.16 / $212.16 / $212.16	Professional	50	$212.16	$212.16	$212.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.98 / $59.42 / $64.79	Professional		$51.98	$59.42	$64.79
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $93.00 / $97.18 / $116.14	Professional	50	$93.00	$97.18	$116.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.69 / $41.27 / $49.13	Facility		$40.69	$41.27	$49.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.44 / $59.34 / $104.20	Professional		$27.44	$59.34	$104.20
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,128.00 / $1,732.00 / $3,029.00	Facility		$1,128.00	$1,732.00	$3,029.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $22.13 / $46.91 / $66.38	Professional		$22.13	$46.91	$66.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.84 / $71.05 / $104.96	Professional		$47.84	$71.05	$104.96
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 $40.98 / $57.58 / $107.89	Professional		$40.98	$57.58	$107.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.92 / $48.26 / $48.26	Professional		$19.92	$48.26	$48.26