Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $714.00 / $4,382.59 / $11,576.00	Facility		$714.00	$4,382.59	$11,576.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,730.00 / $3,506.92 / $8,269.99	Facility	50	$1,730.00	$3,506.92	$8,269.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.17 / $282.83 / $516.10	Professional		$237.17	$282.83	$516.10
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $217.17 / $316.89 / $316.89	Professional	50	$217.17	$316.89	$316.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $505.91 / $505.91 / $1,011.81	Professional		$505.91	$505.91	$1,011.81
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $758.86 / $758.86 / $758.86	Professional	50	$758.86	$758.86	$758.86
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 $245.04 / $390.82 / $582.82	Professional		$245.04	$390.82	$582.82
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 $183.13 / $196.22 / $378.57	Professional		$183.13	$196.22	$378.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $250.72 / $347.41 / $460.35	Professional		$250.72	$347.41	$460.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,681.00 / $5,811.00 / $10,197.00	Facility		$1,681.00	$5,811.00	$10,197.00
United Facility/Professional Professional Modifier Low / Median / High Price $235.18 / $348.25 / $594.51	Professional		$235.18	$348.25	$594.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $202.47 / $202.47 / $202.47	Professional		$202.47	$202.47	$202.47