Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $2,691.53 / $9,120.11	Facility		$151.36	$2,691.53	$9,120.11
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $562.34 / $4,073.80 / $9,772.37	Facility	50	$562.34	$4,073.80	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $323.59 / $741.31	Professional		$173.78	$323.59	$741.31
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $48.98 / $316.23 / $1,584.89	Professional	50	$48.98	$316.23	$1,584.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $154.88 / $489.78	Professional		$69.18	$154.88	$489.78
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $112.20 / $177.83 / $630.96	Professional	50	$112.20	$177.83	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,380.38 / $1,659.59	Facility		$302.00	$1,380.38	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $371.54 / $707.95	Professional		$186.21	$371.54	$707.95
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 $204.17 / $218.78 / $389.05	Professional		$204.17	$218.78	$389.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $346.74	Professional		$32.36	$33.11	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $5,623.41 / $9,772.37	Facility		$1,737.80	$5,623.41	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $323.59 / $616.60	Professional		$177.83	$323.59	$616.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $229.09 / $295.12	Professional		$138.04	$229.09	$295.12