Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.98 / $2,747.00 / $10,632.00	Facility		$109.98	$2,747.00	$10,632.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $808.52 / $1,795.20 / $2,425.56	Facility	50	$808.52	$1,795.20	$2,425.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.82 / $117.66 / $193.96	Professional		$97.82	$117.66	$193.96
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $168.66 / $433.35 / $965.25	Professional	50	$168.66	$433.35	$965.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.90 / $144.90 / $144.90	Professional		$144.90	$144.90	$144.90
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $194.23 / $244.76 / $1,027.50	Professional	50	$194.23	$244.76	$1,027.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.04 / $69.13 / $323.00	Facility		$68.04	$69.13	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.99 / $162.56 / $256.50	Professional		$103.99	$162.56	$256.50
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,438.00 / $2,406.00 / $4,309.00	Facility		$1,438.00	$2,406.00	$4,309.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $60.19 / $120.37 / $155.16	Professional		$60.19	$120.37	$155.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $90.61 / $149.20 / $240.70	Professional		$90.61	$149.20	$240.70
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 $100.05 / $141.50 / $247.32	Professional		$100.05	$141.50	$247.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $85.02 / $106.98 / $106.98	Professional		$85.02	$106.98	$106.98