Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,677.35 / $11,220.18	Facility		$1,023.29	$4,677.35	$11,220.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,621.81 / $4,265.80	Professional		$1,174.90	$1,621.81	$4,265.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,548.82 / $2,754.23	Professional		$1,348.96	$1,548.82	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,949.84 / $2,570.40	Facility		$489.78	$1,949.84	$2,570.40
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Facility	22	$3,019.95	$3,019.95	$3,019.95
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility	62	$1,584.89	$1,584.89	$1,584.89
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $257.04 / $257.04 / $257.04	Facility	AS	$257.04	$257.04	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,621.81 / $2,630.27	Professional		$1,174.90	$1,621.81	$2,630.27
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $12,022.64 / $22,908.68	Facility		$6,165.95	$12,022.64	$22,908.68
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,148.15 / $1,659.59	Professional		$1,023.29	$1,148.15	$1,659.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $1,288.25 / $2,344.23	Professional		$32.36	$1,288.25	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $7,585.78 / $12,022.64	Facility		$2,630.27	$7,585.78	$12,022.64
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,412.54 / $2,570.40	Professional		$1,047.13	$1,412.54	$2,570.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15