Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.83 / $2,556.23 / $10,802.00	Facility		$167.83	$2,556.23	$10,802.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $159.60 / $1,316.00 / $2,987.00	Facility	50	$159.60	$1,316.00	$2,987.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.81 / $148.31 / $290.79	Professional		$68.81	$148.31	$290.79
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $297.12 / $297.12 / $297.12	Professional	50	$297.12	$297.12	$297.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.51 / $197.73 / $234.39	Professional		$87.51	$197.73	$234.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.58 / $69.68 / $323.00	Facility		$68.58	$69.68	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.36 / $194.33 / $368.89	Professional		$79.36	$194.33	$368.89
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 $131.16 / $167.94 / $299.62	Professional		$131.16	$167.94	$299.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $169.75 / $253.87 / $345.88	Professional		$169.75	$253.87	$345.88
United Facility/Professional Facility Modifier Low / Median / High Price $331.00 / $1,952.00 / $4,970.00	Facility		$331.00	$1,952.00	$4,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $166.23 / $243.30 / $444.42	Professional		$166.23	$243.30	$444.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $59.24 / $184.34 / $184.34	Professional		$59.24	$184.34	$184.34