Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.18 / $3,276.00 / $11,576.00	Facility		$141.18	$3,276.00	$11,576.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $899.30 / $899.30 / $899.30	Facility	50	$899.30	$899.30	$899.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.67 / $151.97 / $269.64	Professional		$81.67	$151.97	$269.64
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $267.48 / $267.48 / $267.48	Professional	50	$267.48	$267.48	$267.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $184.31 / $188.16 / $196.73	Professional		$184.31	$188.16	$196.73
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $275.75 / $275.75 / $275.75	Professional	50	$275.75	$275.75	$275.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.63 / $133.47 / $158.90	Facility		$131.63	$133.47	$158.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.04 / $166.28 / $313.49	Professional		$78.04	$166.28	$313.49
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 $131.71 / $141.12 / $284.60	Professional		$131.71	$141.12	$284.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.30 / $213.20 / $279.45	Professional		$138.30	$213.20	$279.45
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 $148.61 / $212.20 / $408.15	Professional		$148.61	$212.20	$408.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $56.94 / $151.41 / $151.41	Professional		$56.94	$151.41	$151.41