Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,778.28 / $6,760.83	Facility		$691.83	$1,778.28	$6,760.83
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $851.14 / $1,995.26 / $4,677.35	Facility	50	$851.14	$1,995.26	$4,677.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $173.78 / $416.87	Professional		$85.11	$173.78	$416.87
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $134.90 / $316.23 / $1,174.90	Professional	50	$134.90	$316.23	$1,174.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $154.88 / $251.19	Professional		$79.43	$154.88	$251.19
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $123.03 / $234.42 / $323.59	Professional	50	$123.03	$234.42	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $323.59 / $562.34	Facility		$34.67	$323.59	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $165.96 / $316.23	Professional		$91.20	$165.96	$316.23
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 $91.20 / $147.91 / $194.98	Professional		$91.20	$147.91	$194.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $69.18 / $234.42	Professional		$32.36	$69.18	$234.42
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 $70.79 / $141.25 / $288.40	Professional		$70.79	$141.25	$288.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $134.90 / $194.98	Professional		$69.18	$134.90	$194.98