Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.76 / $688.03 / $8,146.00	Facility		$90.76	$688.03	$8,146.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $191.03 / $493.40 / $2,166.96	Facility	50	$191.03	$493.40	$2,166.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.80 / $82.88 / $186.29	Professional		$50.80	$82.88	$186.29
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $199.97 / $540.23 / $664.95	Professional	50	$199.97	$540.23	$664.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.66 / $169.77 / $325.14	Professional		$141.66	$169.77	$325.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.58 / $112.86 / $235.25	Professional		$57.58	$112.86	$235.25
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,146.00 / $1,732.00 / $2,887.00	Facility		$1,146.00	$1,732.00	$2,887.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $72.13 / $108.73 / $191.66	Professional		$72.13	$108.73	$191.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $96.67 / $145.20 / $198.00	Professional		$96.67	$145.20	$198.00
United Facility/Professional Facility Modifier Low / Median / High Price $345.00 / $1,911.00 / $4,970.00	Facility		$345.00	$1,911.00	$4,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $89.40 / $148.94 / $272.32	Professional		$89.40	$148.94	$272.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $43.15 / $105.96 / $105.96	Professional		$43.15	$105.96	$105.96