Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.46 / $3,063.00 / $10,632.00	Facility		$38.46	$3,063.00	$10,632.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,266.39 / $3,266.39 / $5,580.46	Facility	50	$3,266.39	$3,266.39	$5,580.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.72 / $62.42 / $111.61	Professional		$36.72	$62.42	$111.61
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $73.45 / $225.04 / $277.39	Professional	50	$73.45	$225.04	$277.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $46.01 / $107.59	Professional		$40.65	$46.01	$107.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.77 / $23.21 / $323.00	Facility		$21.77	$23.21	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.47 / $73.09 / $160.22	Professional		$37.47	$73.09	$160.22
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 $33.97 / $46.35 / $90.70	Professional		$33.97	$46.35	$90.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.70 / $71.41 / $122.65	Professional		$51.70	$71.41	$122.65
United Facility/Professional Facility Modifier Low / Median / High Price $345.00 / $1,911.00 / $4,970.00	Facility		$345.00	$1,911.00	$4,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $48.17 / $73.55 / $133.58	Professional		$48.17	$73.55	$133.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $35.49 / $38.81 / $38.81	Professional		$35.49	$38.81	$38.81