Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $489.78 / $5,495.41	Facility		$91.20	$489.78	$5,495.41
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $81.28 / $288.40 / $1,000.00	Facility	50	$81.28	$288.40	$1,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $91.20 / $204.17	Professional		$46.77	$91.20	$204.17
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $112.20 / $263.03 / $338.84	Professional	50	$112.20	$263.03	$338.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $77.62 / $141.25	Professional		$39.81	$77.62	$141.25
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $100.00 / $100.00 / $218.78	Professional	50	$100.00	$100.00	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $81.28	Facility		$34.67	$34.67	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $89.13 / $194.98	Professional		$48.98	$89.13	$194.98
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,862.09 / $3,162.28	Facility		$1,258.93	$1,862.09	$3,162.28
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $61.66 / $107.15	Professional		$57.54	$61.66	$107.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $95.50	Professional		$32.36	$33.11	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,584.89 / $3,890.45	Facility		$199.53	$1,584.89	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $83.18 / $162.18	Professional		$45.71	$83.18	$162.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $61.66 / $81.28	Professional		$37.15	$61.66	$81.28