Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.19 / $3,063.00 / $10,632.00	Facility		$139.19	$3,063.00	$10,632.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.57 / $139.19 / $279.60	Professional		$54.57	$139.19	$279.60
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $323.33 / $323.33 / $323.33	Professional	50	$323.33	$323.33	$323.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.27 / $46.27 / $149.84	Professional		$46.27	$46.27	$149.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.26 / $132.51 / $323.00	Facility		$124.26	$132.51	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.50 / $146.25 / $313.89	Professional		$61.50	$146.25	$313.89
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 $88.72 / $133.29 / $212.13	Professional		$88.72	$133.29	$212.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $127.68 / $179.78 / $297.40	Professional		$127.68	$179.78	$297.40
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 $133.38 / $182.81 / $332.56	Professional		$133.38	$182.81	$332.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $52.09 / $138.13 / $138.13	Professional		$52.09	$138.13	$138.13