Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $526.00 / $3,290.16 / $10,802.00	Facility		$526.00	$3,290.16	$10,802.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,681.29 / $9,525.78 / $12,264.84	Facility	50	$3,681.29	$9,525.78	$12,264.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.02 / $1,156.89 / $2,093.07	Professional		$284.02	$1,156.89	$2,093.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $176.76 / $211.39 / $441.31	Professional		$176.76	$211.39	$441.31
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $289.62 / $329.11 / $547.64	Professional	50	$289.62	$329.11	$547.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $555.64 / $4,149.46	Facility		$323.00	$555.64	$4,149.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $342.10 / $1,053.18 / $2,600.12	Professional		$342.10	$1,053.18	$2,600.12
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 $902.31 / $1,403.59 / $1,871.45	Professional		$902.31	$1,403.59	$1,871.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,053.64 / $1,675.69 / $2,692.26	Professional		$1,053.64	$1,675.69	$2,692.26
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 $1,219.95 / $1,758.76 / $3,191.59	Professional		$1,219.95	$1,758.76	$3,191.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $249.45 / $1,200.02 / $1,200.02	Professional		$249.45	$1,200.02	$1,200.02