Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $3,311.31 / $9,332.54	Facility		$549.54	$3,311.31	$9,332.54
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $616.60 / $776.25 / $2,290.87	Facility	50	$616.60	$776.25	$2,290.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $158.49 / $295.12	Professional		$91.20	$158.49	$295.12
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $72.44 / $549.54 / $549.54	Professional	50	$72.44	$549.54	$549.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $302.00 / $302.00 / $302.00	Professional	50	$302.00	$302.00	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $123.03 / $186.21	Facility		$34.67	$123.03	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $186.21 / $363.08	Professional		$107.15	$186.21	$363.08
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,454.71 / $4,168.69	Facility		$1,513.56	$2,454.71	$4,168.69
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $134.90 / $173.78	Professional		$128.82	$134.90	$173.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $218.78	Professional		$32.36	$33.11	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $1,584.89 / $3,890.45	Facility		$269.15	$1,584.89	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $165.96 / $309.03	Professional		$91.20	$165.96	$309.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $141.25 / $181.97	Professional		$85.11	$141.25	$181.97