Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.62 / $3,241.00 / $10,802.00	Facility		$120.62	$3,241.00	$10,802.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,402.55 / $1,402.55 / $1,402.55	Facility	50	$1,402.55	$1,402.55	$1,402.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.55 / $166.25 / $240.75	Professional		$99.55	$166.25	$240.75
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $98.86 / $324.68 / $324.68	Professional	50	$98.86	$324.68	$324.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $170.21 / $170.21 / $263.91	Professional		$170.21	$170.21	$263.91
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $195.11 / $195.11 / $195.11	Professional	50	$195.11	$195.11	$195.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.65 / $159.91 / $330.00	Facility		$149.65	$159.91	$330.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.57 / $193.05 / $347.21	Professional		$105.57	$193.05	$347.21
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 $98.27 / $118.24 / $249.37	Professional		$98.27	$118.24	$249.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.79 / $146.52 / $239.28	Professional		$97.79	$146.52	$239.28
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 $123.83 / $183.33 / $329.15	Professional		$123.83	$183.33	$329.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $97.79 / $122.05 / $122.05	Professional		$97.79	$122.05	$122.05