Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $4,818.00 / $12,682.18	Facility		$640.00	$4,818.00	$12,682.18
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,138.08 / $3,912.00 / $9,437.00	Facility	50	$1,138.08	$3,912.00	$9,437.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $396.22 / $481.08 / $830.91	Professional		$396.22	$481.08	$830.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $372.94 / $563.94 / $623.20	Professional		$372.94	$563.94	$623.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,533.07 / $12,484.00 / $54,020.00	Facility		$1,533.07	$12,484.00	$54,020.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.52 / $673.40 / $1,034.51	Professional		$446.52	$673.40	$1,034.51
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $5,979.00 / $12,759.00 / $23,031.00	Facility		$5,979.00	$12,759.00	$23,031.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $352.83 / $414.38 / $728.86	Professional		$352.83	$414.38	$728.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.90 / $417.47 / $677.89	Professional		$70.90	$417.47	$677.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,637.00 / $8,066.00 / $12,748.00	Facility		$2,637.00	$8,066.00	$12,748.00
United Facility/Professional Professional Modifier Low / Median / High Price $397.08 / $568.42 / $1,096.92	Professional		$397.08	$568.42	$1,096.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $431.50 / $431.50 / $431.50	Professional		$431.50	$431.50	$431.50