Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.53 / $3,401.00 / $11,576.00	Facility		$100.53	$3,401.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.38 / $120.61 / $194.53	Professional		$94.38	$120.61	$194.53
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $172.38 / $172.38 / $331.90	Professional	50	$172.38	$172.38	$331.90
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $169.66 / $169.66 / $169.66	Professional	50	$169.66	$169.66	$169.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.37 / $79.31 / $323.00	Facility		$74.37	$79.31	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.47 / $140.56 / $263.00	Professional		$93.47	$140.56	$263.00
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 $54.50 / $92.78 / $164.32	Professional		$54.50	$92.78	$164.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.18 / $110.16 / $183.80	Professional		$79.18	$110.16	$183.80
United Facility/Professional Facility Modifier Low / Median / High Price $270.00 / $1,954.00 / $4,970.00	Facility		$270.00	$1,954.00	$4,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $90.82 / $125.98 / $226.62	Professional		$90.82	$125.98	$226.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $93.45 / $102.39 / $102.39	Professional		$93.45	$102.39	$102.39