Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $3,388.44 / $10,964.78	Facility		$316.23	$3,388.44	$10,964.78
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $645.65 / $3,388.44 / $13,803.84	Facility	50	$645.65	$3,388.44	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $331.13 / $794.33	Professional		$239.88	$331.13	$794.33
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $223.87 / $446.68 / $851.14	Professional	50	$223.87	$446.68	$851.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $181.97 / $501.19	Professional		$123.03	$181.97	$501.19
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $165.96 / $263.03 / $524.81	Professional	50	$165.96	$263.03	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $12,589.25 / $53,703.18	Facility		$2,398.83	$12,589.25	$53,703.18
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $537.03 / $537.03 / $537.03	Facility	22	$537.03	$537.03	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $389.05 / $691.83	Professional		$245.47	$389.05	$691.83
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 $162.18 / $173.78 / $323.59	Professional		$162.18	$173.78	$323.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $338.84	Professional		$32.36	$33.11	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $5,754.40 / $9,772.37	Facility		$1,737.80	$5,754.40	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $346.74 / $588.84	Professional		$234.42	$346.74	$588.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $229.09	Professional		$204.17	$204.17	$229.09