Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $14,791.08 / $36,307.81	Facility		$2,691.53	$14,791.08	$36,307.81
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $12,882.50 / $12,882.50 / $12,882.50	Facility	22	$12,882.50	$12,882.50	$12,882.50
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,818.38 / $6,918.31 / $26,915.35	Facility	50	$2,818.38	$6,918.31	$26,915.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,698.24 / $5,623.41	Professional		$1,148.15	$1,698.24	$5,623.41
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $169.82 / $338.84 / $891.25	Professional	AS	$169.82	$338.84	$891.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $1,230.27 / $1,949.84	Professional		$165.96	$1,230.27	$1,949.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $12,589.25 / $13,182.57	Facility		$34.67	$12,589.25	$13,182.57
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Facility	22	$2,630.27	$2,630.27	$2,630.27
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility	54	$1,513.56	$1,513.56	$1,513.56
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $218.78 / $218.78 / $218.78	Facility	AS	$218.78	$218.78	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,778.28 / $3,162.28	Professional		$1,122.02	$1,778.28	$3,162.28
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $12,022.64 / $22,908.68	Facility		$6,165.95	$12,022.64	$22,908.68
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,096.48 / $1,778.28	Professional		$851.14	$1,096.48	$1,778.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,862.09	Professional		$32.36	$33.11	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $16,982.44 / $42,657.95	Facility		$7,079.46	$16,982.44	$42,657.95
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,513.56 / $2,630.27	Professional		$1,071.52	$1,513.56	$2,630.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,348.96	Professional		$1,000.00	$1,000.00	$1,348.96