Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.97 / $533.46 / $8,146.00	Facility		$41.97	$533.46	$8,146.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $59.62 / $274.58 / $3,014.10	Facility	50	$59.62	$274.58	$3,014.10
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $13.72 / $19.62 / $21.45	Facility	52	$13.72	$19.62	$21.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.15 / $43.03 / $100.00	Professional		$29.15	$43.03	$100.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $59.60 / $179.55 / $293.26	Professional	50	$59.60	$179.55	$293.26
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $13.72 / $19.75 / $25.70	Professional	52	$13.72	$19.75	$25.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.89 / $52.06 / $114.00	Professional		$44.89	$52.06	$114.00
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $64.40 / $69.23 / $77.55	Professional	50	$64.40	$69.23	$77.55
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $31.44 / $31.44 / $31.44	Professional	52	$31.44	$31.44	$31.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.97 / $51.96 / $87.28	Professional		$32.97	$51.96	$87.28
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,146.00 / $1,732.00 / $2,887.00	Facility		$1,146.00	$1,732.00	$2,887.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $32.31 / $34.61 / $64.40	Professional		$32.31	$34.61	$64.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.47 / $72.12 / $96.94	Professional		$49.47	$72.12	$96.94
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 $38.10 / $53.99 / $97.28	Professional		$38.10	$53.99	$97.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.57 / $24.51 / $36.77	Professional		$23.57	$24.51	$36.77