Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.10 / $1,513.56 / $6,918.31	Facility		$1.10	$1,513.56	$6,918.31
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $0.51 / $1,122.02 / $1,445.44	Facility	50	$0.51	$1,122.02	$1,445.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $100.00 / $263.03	Professional		$56.23	$100.00	$263.03
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $91.20 / $204.17 / $562.34	Professional	50	$91.20	$204.17	$562.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $91.20 / $125.89	Professional		$54.95	$91.20	$125.89
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $81.28 / $131.83 / $169.82	Professional	50	$81.28	$131.83	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $102.33 / $323.59	Facility		$34.67	$102.33	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $100.00 / $181.97	Professional		$58.88	$100.00	$181.97
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,454.71 / $6,309.57	Facility		$954.99	$2,454.71	$6,309.57
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $79.43 / $107.15	Professional		$51.29	$79.43	$107.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $45.71 / $131.83	Professional		$32.36	$45.71	$131.83
United Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $1,778.28 / $4,168.69	Facility		$346.74	$1,778.28	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $83.18 / $154.88	Professional		$50.12	$83.18	$154.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $74.13 / $104.71	Professional		$45.71	$74.13	$104.71