Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $387.00 / $2,747.00 / $10,086.00	Facility		$387.00	$2,747.00	$10,086.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $664.17 / $5,306.00 / $16,028.32	Facility	50	$664.17	$5,306.00	$16,028.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.66 / $672.35 / $1,064.24	Professional		$157.66	$672.35	$1,064.24
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $4,210.10 / $4,210.10 / $4,210.10	Professional	50	$4,210.10	$4,210.10	$4,210.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $161.19 / $345.41 / $759.91	Professional		$161.19	$345.41	$759.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.35 / $501.11 / $1,383.20	Professional		$167.35	$501.11	$1,383.20
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 $519.98 / $550.04 / $1,123.54	Professional		$519.98	$550.04	$1,123.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $593.23 / $898.38 / $1,166.12	Professional		$593.23	$898.38	$1,166.12
United Facility/Professional Facility Modifier Low / Median / High Price $345.00 / $1,916.00 / $4,970.00	Facility		$345.00	$1,916.00	$4,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $691.32 / $994.85 / $1,760.54	Professional		$691.32	$994.85	$1,760.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $131.24 / $281.22 / $281.22	Professional		$131.24	$281.22	$281.22