Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $515.00 / $4,983.00 / $11,704.72	Facility		$515.00	$4,983.00	$11,704.72
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,856.04 / $5,856.04 / $8,959.16	Facility	50	$5,856.04	$5,856.04	$8,959.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.06 / $440.91 / $738.27	Professional		$305.06	$440.91	$738.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $189.46 / $372.93 / $535.25	Professional		$189.46	$372.93	$535.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $1,574.05 / $1,873.87	Facility		$494.00	$1,574.05	$1,873.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $348.44 / $555.58 / $915.72	Professional		$348.44	$555.58	$915.72
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $5,979.00 / $12,804.00 / $23,031.00	Facility		$5,979.00	$12,804.00	$23,031.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $192.16 / $404.70 / $573.88	Professional		$192.16	$404.70	$573.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.98 / $372.37 / $691.32	Professional		$70.98	$372.37	$691.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,954.00 / $5,889.00 / $10,192.00	Facility		$1,954.00	$5,889.00	$10,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $360.44 / $515.86 / $987.39	Professional		$360.44	$515.86	$987.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $303.33 / $414.65 / $414.65	Professional		$303.33	$414.65	$414.65