Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $644.00 / $5,775.00 / $11,576.00	Facility		$644.00	$5,775.00	$11,576.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,452.65 / $3,669.25 / $9,261.04	Facility	50	$2,452.65	$3,669.25	$9,261.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $546.67 / $688.48 / $1,151.01	Professional		$546.67	$688.48	$1,151.01
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $2,037.06 / $2,037.06 / $2,037.06	Professional	50	$2,037.06	$2,037.06	$2,037.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $545.52 / $545.52 / $969.15	Professional		$545.52	$545.52	$969.15
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $1,241.49 / $1,241.49 / $1,647.25	Professional	50	$1,241.49	$1,241.49	$1,647.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $611.00 / $1,533.07 / $1,825.09	Facility		$611.00	$1,533.07	$1,825.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $623.60 / $979.94 / $1,513.30	Professional		$623.60	$979.94	$1,513.30
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 $568.59 / $609.21 / $1,071.55	Professional		$568.59	$609.21	$1,071.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.23 / $600.29 / $1,022.25	Professional		$74.23	$600.29	$1,022.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,681.00 / $5,811.00 / $10,057.00	Facility		$1,681.00	$5,811.00	$10,057.00
United Facility/Professional Professional Modifier Low / Median / High Price $668.56 / $975.19 / $1,663.35	Professional		$668.56	$975.19	$1,663.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $523.41 / $642.91 / $642.91	Professional		$523.41	$642.91	$642.91