Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.43 / $1,449.00 / $8,159.00	Facility		$94.43	$1,449.00	$8,159.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $673.34 / $1,431.46 / $4,202.60	Facility	50	$673.34	$1,431.46	$4,202.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.09 / $114.35 / $281.16	Professional		$69.09	$114.35	$281.16
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $35.79 / $177.95 / $681.05	Professional	50	$35.79	$177.95	$681.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $96.90 / $112.91 / $179.62	Professional		$96.90	$112.91	$179.62
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $128.85 / $166.67 / $269.43	Professional	50	$128.85	$166.67	$269.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.73 / $58.36 / $323.00	Facility		$54.73	$58.36	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.94 / $137.65 / $294.43	Professional		$76.94	$137.65	$294.43
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 $75.12 / $98.49 / $207.44	Professional		$75.12	$98.49	$207.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.52 / $108.80 / $182.17	Professional		$77.52	$108.80	$182.17
United Facility/Professional Facility Modifier Low / Median / High Price $270.00 / $1,911.00 / $4,970.00	Facility		$270.00	$1,911.00	$4,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $79.75 / $124.07 / $235.01	Professional		$79.75	$124.07	$235.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $69.95 / $86.04 / $86.04	Professional		$69.95	$86.04	$86.04