Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,528.24 / $18,416.00 / $37,879.69	Facility		$3,528.24	$18,416.00	$37,879.69
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $12,861.38 / $12,861.38 / $12,861.38	Facility	22	$12,861.38	$12,861.38	$12,861.38
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,046.00 / $6,900.81 / $26,986.00	Facility	50	$1,046.00	$6,900.81	$26,986.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $850.12 / $914.70 / $957.11	Facility	54	$850.12	$914.70	$957.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,192.36 / $1,409.17 / $3,380.40	Professional		$1,192.36	$1,409.17	$3,380.40
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $56.26 / $204.04 / $1,959.05	Professional	AS	$56.26	$204.04	$1,959.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $401.31 / $1,490.63 / $2,033.66	Professional		$401.31	$1,490.63	$2,033.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $12,500.00 / $13,325.00	Facility		$323.00	$12,500.00	$13,325.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,126.08 / $1,754.68 / $3,053.53	Professional		$1,126.08	$1,754.68	$3,053.53
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $6,139.00 / $12,804.00 / $23,031.00	Facility		$6,139.00	$12,804.00	$23,031.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $718.19 / $1,289.05 / $1,777.13	Professional		$718.19	$1,289.05	$1,777.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $142.81 / $977.80 / $1,655.61	Professional		$142.81	$977.80	$1,655.61
United Facility/Professional Facility Modifier Low / Median / High Price $7,368.00 / $20,046.00 / $43,358.00	Facility		$7,368.00	$20,046.00	$43,358.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,081.97 / $1,524.50 / $2,621.85	Professional		$1,081.97	$1,524.50	$2,621.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $992.70 / $992.70 / $1,288.06	Professional		$992.70	$992.70	$1,288.06