Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.47 / $3,401.00 / $10,632.00	Facility		$177.47	$3,401.00	$10,632.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,160.90 / $1,160.90 / $1,160.90	Facility	50	$1,160.90	$1,160.90	$1,160.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $178.59 / $296.92	Professional		$109.65	$178.59	$296.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.45 / $72.45 / $144.90	Professional		$72.45	$72.45	$144.90
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $340.28 / $340.28 / $340.28	Professional	50	$340.28	$340.28	$340.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.16 / $161.53 / $330.00	Facility		$151.16	$161.53	$330.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.26 / $219.46 / $439.53	Professional		$123.26	$219.46	$439.53
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $3,105.00 / $5,731.00 / $11,037.00	Facility		$3,105.00	$5,731.00	$11,037.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $92.27 / $160.21 / $267.74	Professional		$92.27	$160.21	$267.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.41 / $177.64 / $322.94	Professional		$32.41	$177.64	$322.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,681.00 / $5,811.00 / $10,057.00	Facility		$1,681.00	$5,811.00	$10,057.00
United Facility/Professional Professional Modifier Low / Median / High Price $162.41 / $220.37 / $377.09	Professional		$162.41	$220.37	$377.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $113.36 / $177.96 / $177.96	Professional		$113.36	$177.96	$177.96