Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $3,388.44 / $10,000.00	Facility		$776.25	$3,388.44	$10,000.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $954.99 / $1,995.26 / $5,495.41	Facility	50	$954.99	$1,995.26	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $204.17 / $457.09	Professional		$120.23	$204.17	$457.09
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $288.40 / $602.56 / $831.76	Professional	50	$288.40	$602.56	$831.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $194.98 / $245.47	Professional		$162.18	$194.98	$245.47
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $275.42 / $389.05 / $562.34	Professional	50	$275.42	$389.05	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $138.04 / $223.87	Facility		$34.67	$138.04	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $213.80 / $407.38	Professional		$134.90	$213.80	$407.38
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 $141.25 / $147.91 / $190.55	Professional		$141.25	$147.91	$190.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $234.42	Professional		$32.36	$33.11	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $1,584.89 / $3,890.45	Facility		$331.13	$1,584.89	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $190.55 / $346.74	Professional		$114.82	$190.55	$346.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $154.88 / $199.53	Professional		$102.33	$154.88	$199.53