Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $644.00 / $4,109.00 / $10,632.00	Facility		$644.00	$4,109.00	$10,632.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $0.56 / $4,661.06 / $5,931.71	Facility	50	$0.56	$4,661.06	$5,931.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.95 / $960.96 / $1,677.10	Professional		$263.95	$960.96	$1,677.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $176.74 / $176.74 / $381.99	Professional		$176.74	$176.74	$381.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $482.50 / $3,445.40	Facility		$323.00	$482.50	$3,445.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.62 / $838.44 / $2,184.52	Professional		$305.62	$838.44	$2,184.52
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $4,279.00 / $8,488.00 / $16,195.00	Facility		$4,279.00	$8,488.00	$16,195.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $782.10 / $1,242.60 / $1,657.74	Professional		$782.10	$1,242.60	$1,657.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $763.66 / $1,205.97 / $1,979.36	Professional		$763.66	$1,205.97	$1,979.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,637.00 / $8,267.00 / $12,989.00	Facility		$2,637.00	$8,267.00	$12,989.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,052.88 / $1,559.57 / $2,689.37	Professional		$1,052.88	$1,559.57	$2,689.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $215.75 / $911.00 / $911.00	Professional		$215.75	$911.00	$911.00