Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.02 / $1,458.50 / $8,146.00	Facility		$56.02	$1,458.50	$8,146.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $535.79 / $2,229.42 / $2,731.82	Facility	50	$535.79	$2,229.42	$2,731.82
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $8.63 / $14.76 / $18.14	Facility	53	$8.63	$14.76	$18.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.07 / $78.79 / $144.02	Professional		$46.07	$78.79	$144.02
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $143.31 / $157.69 / $942.66	Professional	50	$143.31	$157.69	$942.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $95.82 / $139.10	Professional		$45.77	$95.82	$139.10
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $68.66 / $143.72 / $178.12	Professional	50	$68.66	$143.72	$178.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $323.00 / $323.00	Facility		$323.00	$323.00	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.15 / $98.48 / $184.87	Professional		$51.15	$98.48	$184.87
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $314.73 / $335.71 / $362.99	Facility		$314.73	$335.71	$362.99
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $58.49 / $103.11 / $214.13	Professional		$58.49	$103.11	$214.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.12 / $107.01 / $164.38	Professional		$73.12	$107.01	$164.38
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 $73.36 / $115.93 / $204.14	Professional		$73.36	$115.93	$204.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $83.75 / $83.75	Professional		$38.54	$83.75	$83.75