Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $500.39 / $3,401.00 / $11,624.00	Facility		$500.39	$3,401.00	$11,624.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,512.04 / $7,105.28 / $12,475.05	Facility	50	$2,512.04	$7,105.28	$12,475.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $460.61 / $532.39 / $761.48	Professional		$460.61	$532.39	$761.48
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $252.52 / $822.82 / $1,593.68	Professional	50	$252.52	$822.82	$1,593.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $354.20 / $354.20 / $708.39	Professional		$354.20	$354.20	$708.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $695.00 / $977.92 / $1,164.19	Facility		$695.00	$977.92	$1,164.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $447.89 / $612.01 / $944.14	Professional		$447.89	$612.01	$944.14
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $3,144.00 / $5,731.00 / $11,037.00	Facility		$3,144.00	$5,731.00	$11,037.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $363.40 / $470.95 / $709.64	Professional		$363.40	$470.95	$709.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.32 / $441.80 / $730.00	Professional		$70.32	$441.80	$730.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,014.00 / $3,611.00 / $8,105.00	Facility		$1,014.00	$3,611.00	$8,105.00
United Facility/Professional Professional Modifier Low / Median / High Price $439.36 / $566.46 / $970.35	Professional		$439.36	$566.46	$970.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $420.77 / $474.65 / $474.65	Professional		$420.77	$474.65	$474.65