Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $1,819.70 / $8,912.51	Facility		$61.66	$1,819.70	$8,912.51
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $89.13 / $2,041.74 / $2,398.83	Facility	50	$89.13	$2,041.74	$2,398.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $102.33 / $257.04	Professional		$56.23	$102.33	$257.04
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $199.53 / $338.84 / $1,071.52	Professional	50	$199.53	$338.84	$1,071.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $74.13 / $125.89	Professional		$56.23	$74.13	$125.89
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $125.89 / $125.89 / $125.89	Professional	50	$125.89	$125.89	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $64.57 / $323.59	Facility		$34.67	$64.57	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $107.15 / $204.17	Professional		$60.26	$107.15	$204.17
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,235.94 / $6,606.93	Facility		$2,238.72	$3,235.94	$6,606.93
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $93.33 / $134.90	Professional		$61.66	$93.33	$134.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $151.36	Professional		$32.36	$50.12	$151.36
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 $47.86 / $81.28 / $154.88	Professional		$47.86	$81.28	$154.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $81.28 / $138.04	Professional		$45.71	$81.28	$138.04