Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $3,311.31 / $8,709.64	Facility		$588.84	$3,311.31	$8,709.64
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $645.65 / $1,288.25 / $2,398.83	Facility	50	$645.65	$1,288.25	$2,398.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $288.40 / $676.08	Professional		$181.97	$288.40	$676.08
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $346.74 / $645.65 / $1,174.90	Professional	50	$346.74	$645.65	$1,174.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $234.42 / $426.58	Professional		$169.82	$234.42	$426.58
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $537.03 / $549.54 / $707.95	Professional	50	$537.03	$549.54	$707.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $128.82 / $338.84	Facility		$123.03	$128.82	$338.84
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $239.88 / $239.88 / $239.88	Facility	54	$239.88	$239.88	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $295.12 / $575.44	Professional		$162.18	$295.12	$575.44
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,884.03 / $6,309.57	Facility		$1,905.46	$2,884.03	$6,309.57
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $181.97 / $331.13	Professional		$151.36	$181.97	$331.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $275.42	Professional		$32.36	$33.11	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,570.40 / $5,011.87	Facility		$537.03	$2,570.40	$5,011.87
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $257.04 / $436.52	Professional		$173.78	$257.04	$436.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $186.21 / $239.88	Professional		$154.88	$186.21	$239.88