Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.85 / $2,747.00 / $10,632.00	Facility		$255.85	$2,747.00	$10,632.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,692.68 / $2,692.68 / $10,865.65	Facility	50	$2,692.68	$2,692.68	$10,865.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.53 / $248.05 / $395.00	Professional		$44.53	$248.05	$395.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $372.08 / $372.08 / $372.08	Professional	50	$372.08	$372.08	$372.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.82 / $63.64 / $97.05	Professional		$31.82	$63.64	$97.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.65 / $47.00 / $80.37	Facility		$44.65	$47.00	$80.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.79 / $175.33 / $504.00	Professional		$49.79	$175.33	$504.00
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $50.91 / $292.70 / $338.52	Facility		$50.91	$292.70	$338.52
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $156.87 / $308.12 / $482.86	Professional		$156.87	$308.12	$482.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.54 / $237.32 / $395.40	Professional		$81.54	$237.32	$395.40
United Facility/Professional Facility Modifier Low / Median / High Price $351.00 / $1,916.00 / $4,970.00	Facility		$351.00	$1,916.00	$4,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $239.73 / $353.09 / $664.42	Professional		$239.73	$353.09	$664.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $35.75 / $77.84 / $77.84	Professional		$35.75	$77.84	$77.84