Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $3,311.31 / $10,715.19	Facility		$549.54	$3,311.31	$10,715.19
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,698.24 / $1,698.24 / $2,818.38	Facility	50	$1,698.24	$1,698.24	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $104.71 / $186.21	Professional		$70.79	$104.71	$186.21
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $147.91 / $194.98 / $389.05	Professional	50	$147.91	$194.98	$389.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $128.82 / $707.95	Facility		$34.67	$128.82	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $107.15 / $208.93	Professional		$61.66	$107.15	$208.93
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,884.03 / $6,309.57	Facility		$1,905.46	$2,884.03	$6,309.57
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $69.18 / $138.04	Professional		$53.70	$69.18	$138.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $107.15	Professional		$32.36	$33.11	$107.15
United Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $1,548.82 / $3,890.45	Facility		$269.15	$1,548.82	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $91.20 / $154.88	Professional		$63.10	$91.20	$154.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $72.44 / $93.33	Professional		$60.26	$72.44	$93.33