Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $1,737.80 / $7,943.28	Facility		$45.71	$1,737.80	$7,943.28
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $0.26 / $158.49 / $891.25	Facility	50	$0.26	$158.49	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $85.11 / $186.21	Professional		$47.86	$85.11	$186.21
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $128.82 / $281.84 / $575.44	Professional	50	$128.82	$281.84	$575.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $77.62 / $97.72	Professional		$42.66	$77.62	$97.72
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $69.18 / $107.15 / $144.54	Professional	50	$69.18	$107.15	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $87.10 / $323.59	Facility		$34.67	$87.10	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $89.13 / $165.96	Professional		$51.29	$89.13	$165.96
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 $47.86 / $75.86 / $102.33	Professional		$47.86	$75.86	$102.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $38.90 / $125.89	Professional		$32.36	$38.90	$125.89
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 $42.66 / $74.13 / $141.25	Professional		$42.66	$74.13	$141.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $69.18 / $102.33	Professional		$38.90	$69.18	$102.33