Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.11 / $2,747.00 / $8,988.00	Facility		$159.11	$2,747.00	$8,988.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $878.08 / $2,565.59 / $4,244.89	Facility	50	$878.08	$2,565.59	$4,244.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.92 / $159.11 / $257.66	Professional		$92.92	$159.11	$257.66
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $309.32 / $680.00 / $1,876.46	Professional	50	$309.32	$680.00	$1,876.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.34 / $169.14 / $338.27	Professional		$95.34	$169.14	$338.27
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $252.04 / $253.29 / $507.41	Professional	50	$252.04	$253.29	$507.41
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 $104.49 / $184.88 / $341.82	Professional		$104.49	$184.88	$341.82
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2,104.00 / $3,151.00 / $7,804.00	Facility		$2,104.00	$3,151.00	$7,804.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $83.76 / $171.38 / $214.27	Professional		$83.76	$171.38	$214.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $147.18 / $213.20 / $322.09	Professional		$147.18	$213.20	$322.09
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 $141.58 / $222.15 / $372.76	Professional		$141.58	$222.15	$372.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $80.68 / $147.07 / $147.07	Professional		$80.68	$147.07	$147.07