Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $2,238.72 / $6,918.31	Facility		$134.90	$2,238.72	$6,918.31
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $0.56 / $1,949.84 / $4,570.88	Facility	50	$0.56	$1,949.84	$4,570.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $177.83 / $426.58	Professional		$123.03	$177.83	$426.58
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $87.10 / $199.53 / $512.86	Professional	50	$87.10	$199.53	$512.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $138.04 / $151.36	Professional		$70.79	$138.04	$151.36
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $112.20 / $158.49 / $223.87	Professional	50	$112.20	$158.49	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $794.33 / $1,659.59	Facility		$269.15	$794.33	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $218.78 / $389.05	Professional		$138.04	$218.78	$389.05
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $4,786.30 / $9,549.93	Facility		$2,691.53	$4,786.30	$9,549.93
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $104.71 / $181.97	Professional		$97.72	$104.71	$181.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $204.17	Professional		$32.36	$33.11	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,623.41 / $9,772.37	Facility		$1,698.24	$5,623.41	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $190.55 / $331.13	Professional		$131.83	$190.55	$331.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $141.25	Professional		$123.03	$123.03	$141.25