Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.59 / $988.00 / $6,977.00	Facility		$110.59	$988.00	$6,977.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $0.56 / $0.57 / $419.98	Facility	50	$0.56	$0.57	$419.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.44 / $93.28 / $148.35	Professional		$51.44	$93.28	$148.35
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $54.53 / $150.36 / $163.58	Professional	50	$54.53	$150.36	$163.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.95 / $145.77 / $188.32	Professional		$68.95	$145.77	$188.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.63 / $77.86 / $323.00	Facility		$76.63	$77.86	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.45 / $111.21 / $217.45	Professional		$50.45	$111.21	$217.45
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,424.00 / $2,394.00 / $4,241.00	Facility		$1,424.00	$2,394.00	$4,241.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $48.55 / $99.66 / $129.59	Professional		$48.55	$99.66	$129.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.52 / $107.08 / $164.82	Professional		$74.52	$107.08	$164.82
United Facility/Professional Facility Modifier Low / Median / High Price $351.00 / $1,986.00 / $5,259.00	Facility		$351.00	$1,986.00	$5,259.00
United Facility/Professional Professional Modifier Low / Median / High Price $81.38 / $114.28 / $201.29	Professional		$81.38	$114.28	$201.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.09 / $86.04 / $86.04	Professional		$40.09	$86.04	$86.04