Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.23 / $3,279.00 / $11,576.00	Facility		$90.23	$3,279.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.57 / $90.23 / $160.77	Professional		$37.57	$90.23	$160.77
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $292.95 / $292.95 / $292.95	Professional	50	$292.95	$292.95	$292.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.33 / $109.39 / $109.39	Professional		$107.33	$109.39	$109.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.06 / $82.21 / $97.87	Facility		$81.06	$82.21	$97.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.78 / $109.67 / $212.55	Professional		$40.78	$109.67	$212.55
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,752.00 / $2,882.00 / $6,066.00	Facility		$1,752.00	$2,882.00	$6,066.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $76.56 / $82.04 / $165.45	Professional		$76.56	$82.04	$165.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $90.43 / $141.91 / $185.18	Professional		$90.43	$141.91	$185.18
United Facility/Professional Facility Modifier Low / Median / High Price $320.83 / $1,911.00 / $4,970.00	Facility		$320.83	$1,911.00	$4,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $98.47 / $145.30 / $247.53	Professional		$98.47	$145.30	$247.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $29.11 / $88.34 / $88.34	Professional		$29.11	$88.34	$88.34