Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $3,019.95 / $8,128.31	Facility		$407.38	$3,019.95	$8,128.31
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $645.65 / $1,513.56 / $1,513.56	Facility	50	$645.65	$1,513.56	$1,513.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $97.72 / $223.87	Professional		$56.23	$97.72	$223.87
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $38.90 / $316.23 / $416.87	Professional	50	$38.90	$316.23	$416.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $97.72 / $467.74	Professional		$56.23	$97.72	$467.74
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $112.20 / $112.20 / $138.04	Professional	50	$112.20	$112.20	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $371.54 / $436.52	Facility		$100.00	$371.54	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $107.15 / $213.80	Professional		$58.88	$107.15	$213.80
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,235.94 / $6,606.93	Facility		$2,137.96	$3,235.94	$6,606.93
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $95.50 / $141.25	Professional		$72.44	$95.50	$141.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $44.67 / $134.90	Professional		$32.36	$44.67	$134.90
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $2,570.40 / $5,011.87	Facility		$562.34	$2,570.40	$5,011.87
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $91.20 / $186.21	Professional		$51.29	$91.20	$186.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $75.86 / $109.65	Professional		$44.67	$75.86	$109.65