Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.90 / $2,467.90 / $6,997.71	Facility		$205.90	$2,467.90	$6,997.71
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,219.14 / $2,909.04 / $5,571.00	Facility	50	$1,219.14	$2,909.04	$5,571.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $18.30 / $25.53 / $40.19	Facility	53	$18.30	$25.53	$40.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.09 / $185.39 / $348.53	Professional		$95.09	$185.39	$348.53
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $169.78 / $469.93 / $2,175.84	Professional	50	$169.78	$469.93	$2,175.84
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $19.02 / $34.90 / $54.89	Professional	53	$19.02	$34.90	$54.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.13 / $219.34 / $338.27	Professional		$100.13	$219.34	$338.27
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $150.19 / $276.31 / $417.94	Professional	50	$150.19	$276.31	$417.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $476.39 / $567.14	Facility		$323.00	$476.39	$567.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.59 / $205.21 / $414.02	Professional		$105.59	$205.21	$414.02
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 $114.15 / $218.85 / $270.76	Professional		$114.15	$218.85	$270.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $171.04 / $248.71 / $386.21	Professional		$171.04	$248.71	$386.21
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 $170.02 / $251.07 / $432.59	Professional		$170.02	$251.07	$432.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $85.02 / $186.39 / $186.39	Professional		$85.02	$186.39	$186.39