Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.65 / $2,747.00 / $10,086.00	Facility		$65.65	$2,747.00	$10,086.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $20.88 / $22.26 / $3,505.50	Facility	50	$20.88	$22.26	$3,505.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.81 / $77.65 / $122.26	Professional		$53.81	$77.65	$122.26
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $104.00 / $232.37 / $731.91	Professional	50	$104.00	$232.37	$731.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $69.37 / $100.71	Professional		$69.37	$69.37	$100.71
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $104.06 / $104.06 / $151.07	Professional	50	$104.06	$104.06	$151.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.29 / $35.86 / $323.00	Facility		$35.29	$35.86	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.27 / $88.46 / $170.11	Professional		$53.27	$88.46	$170.11
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 $49.34 / $75.72 / $134.22	Professional		$49.34	$75.72	$134.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.98 / $71.41 / $111.94	Professional		$51.98	$71.41	$111.94
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 $59.21 / $94.73 / $160.13	Professional		$59.21	$94.73	$160.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.60 / $57.96 / $57.96	Professional		$40.60	$57.96	$57.96