Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $3,388.44 / $10,715.19	Facility		$630.96	$3,388.44	$10,715.19
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,168.69 / $6,165.95 / $9,332.54	Facility	50	$4,168.69	$6,165.95	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $562.34 / $1,230.27	Professional		$467.74	$562.34	$1,230.27
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $602.56 / $1,202.26 / $2,630.27	Professional	50	$602.56	$1,202.26	$2,630.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $524.81	Professional		$263.03	$263.03	$524.81
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $354.81 / $758.58 / $1,230.27	Professional	50	$354.81	$758.58	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $977.24 / $2,511.89	Facility		$691.83	$977.24	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $616.60 / $977.24	Professional		$436.52	$616.60	$977.24
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $5,888.44 / $11,481.54	Facility		$3,235.94	$5,888.44	$11,481.54
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $478.63 / $724.44	Professional		$436.52	$478.63	$724.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $524.81 / $954.99	Professional		$32.36	$524.81	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,548.13 / $6,760.83	Facility		$1,023.29	$3,548.13	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $549.54 / $977.24	Professional		$416.87	$549.54	$977.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $478.63 / $575.44	Professional		$416.87	$478.63	$575.44