Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,290.87 / $6,760.83	Facility		$758.58	$2,290.87	$6,760.83
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $794.33 / $2,344.23 / $4,570.88	Facility	50	$794.33	$2,344.23	$4,570.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $190.55 / $436.52	Professional		$100.00	$190.55	$436.52
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $208.93 / $562.34 / $1,445.44	Professional	50	$208.93	$562.34	$1,445.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $177.83 / $257.04	Professional		$91.20	$177.83	$257.04
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $144.54 / $251.19 / $389.05	Professional	50	$144.54	$251.19	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $478.63 / $562.34	Facility		$34.67	$478.63	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $186.21 / $354.81	Professional		$104.71	$186.21	$354.81
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,235.94 / $6,918.31	Facility		$2,137.96	$3,235.94	$6,918.31
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $158.49 / $213.80	Professional		$102.33	$158.49	$213.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $81.28 / $263.03	Professional		$32.36	$81.28	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $2,570.40 / $5,011.87	Facility		$588.84	$2,570.40	$5,011.87
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $158.49 / $323.59	Professional		$87.10	$158.49	$323.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $147.91 / $208.93	Professional		$81.28	$147.91	$208.93