Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $3,090.30 / $8,128.31	Facility		$97.72	$3,090.30	$8,128.31
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $117.49 / $117.49 / $1,148.15	Facility	50	$117.49	$117.49	$1,148.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $144.54 / $331.13	Professional		$97.72	$144.54	$331.13
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $151.36 / $194.98 / $575.44	Professional	50	$151.36	$194.98	$575.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $131.83 / $263.03	Professional		$114.82	$131.83	$263.03
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $194.98 / $194.98 / $194.98	Professional	50	$194.98	$194.98	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $83.18 / $97.72	Facility		$34.67	$83.18	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $131.83 / $269.15	Professional		$85.11	$131.83	$269.15
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,454.71 / $4,168.69	Facility		$1,513.56	$2,454.71	$4,168.69
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $100.00 / $165.96	Professional		$56.23	$100.00	$165.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $151.36	Professional		$32.36	$33.11	$151.36
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $1,548.82 / $3,890.45	Facility		$251.19	$1,548.82	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $114.82 / $199.53	Professional		$83.18	$114.82	$199.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $102.33 / $128.82	Professional		$89.13	$102.33	$128.82