Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.43 / $1,623.00 / $8,529.00	Facility		$75.43	$1,623.00	$8,529.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $439.04 / $1,332.21 / $1,629.28	Facility	50	$439.04	$1,332.21	$1,629.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.03 / $79.88 / $138.96	Professional		$53.03	$79.88	$138.96
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $175.17 / $364.50 / $954.69	Professional	50	$175.17	$364.50	$954.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.27 / $107.70 / $140.34	Professional		$69.27	$107.70	$140.34
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $130.51 / $136.58 / $231.00	Professional	50	$130.51	$136.58	$231.00
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 $57.90 / $98.69 / $175.70	Professional		$57.90	$98.69	$175.70
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,047.00 / $2,674.00 / $6,584.00	Facility		$1,047.00	$2,674.00	$6,584.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $42.07 / $88.05 / $107.62	Professional		$42.07	$88.05	$107.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.81 / $107.01 / $161.04	Professional		$74.81	$107.01	$161.04
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 $70.50 / $102.72 / $175.97	Professional		$70.50	$102.72	$175.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $45.45 / $74.81 / $74.81	Professional		$45.45	$74.81	$74.81