Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $6,597.00 / $14,333.00	Facility		$761.00	$6,597.00	$14,333.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $0.56 / $2,785.00 / $10,052.66	Facility	50	$0.56	$2,785.00	$10,052.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.26 / $356.75 / $607.09	Professional		$289.26	$356.75	$607.09
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $546.99 / $715.34 / $2,264.21	Professional	50	$546.99	$715.34	$2,264.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,545.59 / $1,545.59 / $1,545.59	Professional		$1,545.59	$1,545.59	$1,545.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,417.98 / $12,484.00 / $54,020.00	Facility		$2,417.98	$12,484.00	$54,020.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.16 / $481.72 / $725.45	Professional		$288.16	$481.72	$725.45
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $5,979.00 / $12,759.00 / $23,031.00	Facility		$5,979.00	$12,759.00	$23,031.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $223.20 / $239.14 / $491.74	Professional		$223.20	$239.14	$491.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $277.84 / $382.66 / $517.36	Professional		$277.84	$382.66	$517.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,637.00 / $8,197.00 / $12,989.00	Facility		$2,637.00	$8,197.00	$12,989.00
United Facility/Professional Professional Modifier Low / Median / High Price $288.16 / $435.41 / $725.01	Professional		$288.16	$435.41	$725.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $246.64 / $246.64 / $246.64	Professional		$246.64	$246.64	$246.64