Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $382.02 / $2,961.00 / $10,086.00	Facility		$382.02	$2,961.00	$10,086.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $891.48 / $891.48 / $891.48	Facility	50	$891.48	$891.48	$891.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.20 / $382.02 / $765.63	Professional		$106.20	$382.02	$765.63
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $612.61 / $612.61 / $612.61	Professional	50	$612.61	$612.61	$612.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $80.22 / $120.29 / $226.73	Professional		$80.22	$120.29	$226.73
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $198.33 / $329.95 / $659.90	Professional	50	$198.33	$329.95	$659.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.77 / $121.86 / $181.74	Facility		$115.77	$121.86	$181.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.53 / $354.79 / $909.31	Professional		$118.53	$354.79	$909.31
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $50.91 / $54.30 / $58.72	Facility		$50.91	$54.30	$58.72
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $147.97 / $331.13 / $628.03	Professional		$147.97	$331.13	$628.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $200.12 / $508.57 / $838.80	Professional		$200.12	$508.57	$838.80
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 $400.93 / $623.13 / $1,149.47	Professional		$400.93	$623.13	$1,149.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $80.68 / $191.03 / $191.03	Professional		$80.68	$191.03	$191.03