Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.15 / $1,384.43 / $7,368.00	Facility		$80.15	$1,384.43	$7,368.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $604.76 / $1,559.00 / $3,592.50	Facility	50	$604.76	$1,559.00	$3,592.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.36 / $70.95 / $125.95	Professional		$39.36	$70.95	$125.95
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $60.75 / $83.54 / $757.02	Professional	50	$60.75	$83.54	$757.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.52 / $65.23 / $159.47	Professional		$38.52	$65.23	$159.47
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $48.93 / $48.93 / $48.93	Professional	50	$48.93	$48.93	$48.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.52 / $45.23 / $323.00	Facility		$44.52	$45.23	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $78.06 / $151.82	Professional		$42.00	$78.06	$151.82
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $3,148.00 / $7,541.00	Facility		$2,093.00	$3,148.00	$7,541.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $44.14 / $70.20 / $107.55	Professional		$44.14	$70.20	$107.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.67 / $71.23 / $108.24	Professional		$50.67	$71.23	$108.24
United Facility/Professional Facility Modifier Low / Median / High Price $591.00 / $2,671.00 / $6,077.00	Facility		$591.00	$2,671.00	$6,077.00
United Facility/Professional Professional Modifier Low / Median / High Price $58.05 / $89.63 / $147.16	Professional		$58.05	$89.63	$147.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $31.66 / $56.68 / $56.68	Professional		$31.66	$56.68	$56.68