Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.44 / $3,241.00 / $10,802.00	Facility		$77.44	$3,241.00	$10,802.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $570.97 / $570.97 / $1,328.68	Facility	50	$570.97	$570.97	$1,328.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.95 / $95.71 / $159.47	Professional		$76.95	$95.71	$159.47
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $140.09 / $140.09 / $286.52	Professional	50	$140.09	$140.09	$286.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $60.40	Professional		$30.20	$30.20	$60.40
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $162.99 / $162.99 / $162.99	Professional	50	$162.99	$162.99	$162.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.28 / $66.41 / $323.00	Facility		$62.28	$66.41	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $113.85 / $215.51	Professional		$75.03	$113.85	$215.51
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 $44.52 / $73.48 / $129.26	Professional		$44.52	$73.48	$129.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.02 / $109.51 / $182.17	Professional		$79.02	$109.51	$182.17
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 $73.76 / $99.98 / $182.54	Professional		$73.76	$99.98	$182.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $76.34 / $79.66 / $79.66	Professional		$76.34	$79.66	$79.66