Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.81 / $2,366.00 / $10,632.00	Facility		$110.81	$2,366.00	$10,632.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $383.54 / $523.94 / $1,546.04	Facility	50	$383.54	$523.94	$1,546.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.05 / $132.01 / $228.68	Professional		$91.05	$132.01	$228.68
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $58.32 / $233.79 / $646.35	Professional	50	$58.32	$233.79	$646.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $55.70 / $110.71 / $161.72	Professional		$55.70	$110.71	$161.72
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $166.06 / $192.62 / $230.32	Professional	50	$166.06	$192.62	$230.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.95 / $90.60 / $107.85	Facility		$84.95	$90.60	$107.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.20 / $149.96 / $280.77	Professional		$94.20	$149.96	$280.77
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 $60.05 / $100.08 / $174.42	Professional		$60.05	$100.08	$174.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.11 / $129.09 / $206.40	Professional		$89.11	$129.09	$206.40
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 $101.45 / $139.37 / $266.47	Professional		$101.45	$139.37	$266.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $89.11 / $109.53 / $109.53	Professional		$89.11	$109.53	$109.53