Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.90 / $2,815.00 / $10,632.00	Facility		$129.90	$2,815.00	$10,632.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $249.00 / $249.00 / $249.00	Facility	50	$249.00	$249.00	$249.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.51 / $129.91 / $372.13	Professional		$58.51	$129.91	$372.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.33 / $67.45 / $134.31	Professional		$61.33	$67.45	$134.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.69 / $111.69 / $464.76	Facility		$111.69	$111.69	$464.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.43 / $164.72 / $433.09	Professional		$68.43	$164.72	$433.09
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2,104.00 / $3,151.00 / $7,804.00	Facility		$2,104.00	$3,151.00	$7,804.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $113.04 / $180.66 / $343.82	Professional		$113.04	$180.66	$343.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $161.02 / $305.13 / $505.64	Professional		$161.02	$305.13	$505.64
United Facility/Professional Facility Modifier Low / Median / High Price $541.00 / $2,669.00 / $5,507.00	Facility		$541.00	$2,669.00	$5,507.00
United Facility/Professional Professional Modifier Low / Median / High Price $141.49 / $251.37 / $478.07	Professional		$141.49	$251.37	$478.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $50.55 / $172.92 / $172.92	Professional		$50.55	$172.92	$172.92