Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $391.00 / $3,863.82 / $8,647.23	Facility		$391.00	$3,863.82	$8,647.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.18 / $265.49 / $1,377.00	Professional		$230.18	$265.49	$1,377.00
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $210.28 / $443.30 / $927.52	Professional	AS	$210.28	$443.30	$927.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $253.11 / $287.01 / $436.71	Professional		$253.11	$287.01	$436.71
Ambetter Facility/Professional Professional Modifier AS Low / Median / High Price $34.42 / $34.43 / $48.92	Professional	AS	$34.42	$34.43	$48.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $323.00 / $323.00	Facility		$323.00	$323.00	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.57 / $352.58 / $557.01	Professional		$234.57	$352.58	$557.01
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,275.00 / $2,689.00 / $6,584.00	Facility		$1,275.00	$2,689.00	$6,584.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $134.43 / $266.43 / $327.67	Professional		$134.43	$266.43	$327.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $202.00 / $270.65 / $415.03	Professional		$202.00	$270.65	$415.03
United Facility/Professional Facility Modifier Low / Median / High Price $366.00 / $1,950.00 / $5,107.00	Facility		$366.00	$1,950.00	$5,107.00
United Facility/Professional Professional Modifier Low / Median / High Price $213.14 / $303.64 / $521.84	Professional		$213.14	$303.64	$521.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $197.62 / $197.62 / $266.43	Professional		$197.62	$197.62	$266.43