Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.61 / $2,747.00 / $10,632.00	Facility		$114.61	$2,747.00	$10,632.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $237.00 / $1,132.20 / $1,132.20	Facility	50	$237.00	$1,132.20	$1,132.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.60 / $138.62 / $207.63	Professional		$105.60	$138.62	$207.63
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $200.79 / $407.53 / $993.59	Professional	50	$200.79	$407.53	$993.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $153.60 / $153.60 / $153.60	Professional		$153.60	$153.60	$153.60
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $222.54 / $222.54 / $230.41	Professional	50	$222.54	$222.54	$230.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.90 / $79.15 / $323.00	Facility		$77.90	$79.15	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.03 / $165.81 / $295.44	Professional		$104.03	$165.81	$295.44
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,424.00 / $2,394.00 / $4,241.00	Facility		$1,424.00	$2,394.00	$4,241.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $80.15 / $133.97 / $187.63	Professional		$80.15	$133.97	$187.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.37 / $111.78 / $175.83	Professional		$82.37	$111.78	$175.83
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 $103.16 / $152.13 / $259.55	Professional		$103.16	$152.13	$259.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $91.92 / $105.96 / $105.96	Professional		$91.92	$105.96	$105.96