Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.39 / $3,241.00 / $10,802.00	Facility		$164.39	$3,241.00	$10,802.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,161.11 / $1,161.11 / $1,161.11	Facility	50	$1,161.11	$1,161.11	$1,161.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.87 / $173.37 / $275.10	Professional		$107.87	$173.37	$275.10
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $249.42 / $282.24 / $608.07	Professional	50	$249.42	$282.24	$608.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $192.14 / $192.14 / $192.14	Professional		$192.14	$192.14	$192.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.66 / $145.74 / $173.50	Facility		$136.66	$145.74	$173.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.62 / $207.84 / $404.78	Professional		$120.62	$207.84	$404.78
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 $83.26 / $148.44 / $241.84	Professional		$83.26	$148.44	$241.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $153.92 / $219.20 / $356.32	Professional		$153.92	$219.20	$356.32
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 $147.02 / $197.91 / $365.90	Professional		$147.02	$197.91	$365.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $111.58 / $164.68 / $164.68	Professional		$111.58	$164.68	$164.68