Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.34 / $2,215.00 / $10,086.00	Facility		$40.34	$2,215.00	$10,086.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $522.24 / $621.51 / $2,363.33	Facility	50	$522.24	$621.51	$2,363.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.98 / $42.75 / $73.15	Professional		$30.98	$42.75	$73.15
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $64.14 / $64.14 / $94.46	Professional	50	$64.14	$64.14	$94.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.40 / $44.78 / $49.12	Professional		$41.40	$44.78	$49.12
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $62.10 / $73.13 / $83.27	Professional	50	$62.10	$73.13	$83.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.94 / $22.29 / $323.00	Facility		$21.94	$22.29	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.39 / $53.63 / $90.88	Professional		$32.39	$53.63	$90.88
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,438.00 / $2,406.00 / $4,309.00	Facility		$1,438.00	$2,406.00	$4,309.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $45.82 / $57.29	Professional		$22.91	$45.82	$57.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.47 / $70.98 / $104.26	Professional		$49.47	$70.98	$104.26
United Facility/Professional Facility Modifier Low / Median / High Price $366.00 / $1,950.00 / $5,107.00	Facility		$366.00	$1,950.00	$5,107.00
United Facility/Professional Professional Modifier Low / Median / High Price $36.15 / $52.03 / $91.13	Professional		$36.15	$52.03	$91.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.28 / $46.28 / $46.28	Professional		$25.28	$46.28	$46.28