Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $2,344.23 / $8,317.64	Facility		$489.78	$2,344.23	$8,317.64
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $562.34 / $933.25 / $1,023.29	Facility	50	$562.34	$933.25	$1,023.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $346.74 / $776.25	Professional		$257.04	$346.74	$776.25
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $457.09 / $812.83 / $1,819.70	Professional	50	$457.09	$812.83	$1,819.70
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $239.88 / $316.23 / $676.08	Professional	54	$239.88	$316.23	$676.08
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $63.10 / $63.10 / $389.05	Professional	55	$63.10	$63.10	$389.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $309.03 / $575.44	Professional		$223.87	$309.03	$575.44
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $295.12 / $501.19 / $977.24	Professional	50	$295.12	$501.19	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $346.74 / $12,589.25	Facility		$288.40	$346.74	$12,589.25
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $354.81 / $354.81 / $354.81	Facility	54	$354.81	$354.81	$354.81
Cigna Facility/Professional Facility Modifier 55 Low / Median / High Price $75.86 / $75.86 / $75.86	Facility	55	$75.86	$75.86	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $338.84 / $676.08	Professional		$229.09	$338.84	$676.08
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 $144.54 / $239.88 / $371.54	Professional		$144.54	$239.88	$371.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $380.19	Professional		$32.36	$33.11	$380.19
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 $218.78 / $302.00 / $512.86	Professional		$218.78	$302.00	$512.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $251.19 / $323.59	Professional		$234.42	$251.19	$323.59