Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.00 / $4,003.00 / $10,843.00	Facility		$602.00	$4,003.00	$10,843.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,114.00 / $7,483.61 / $11,129.25	Facility	50	$2,114.00	$7,483.61	$11,129.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.62 / $1,463.80 / $2,685.15	Professional		$312.62	$1,463.80	$2,685.15
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $234.47 / $924.42 / $8,860.11	Professional	50	$234.47	$924.42	$8,860.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $175.66 / $253.11 / $509.99	Professional		$175.66	$253.11	$509.99
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $240.96 / $376.56 / $689.82	Professional	50	$240.96	$376.56	$689.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $621.90 / $5,300.93	Facility		$323.00	$621.90	$5,300.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $384.10 / $1,229.52 / $3,146.13	Professional		$384.10	$1,229.52	$3,146.13
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $6,078.00 / $12,804.00 / $23,031.00	Facility		$6,078.00	$12,804.00	$23,031.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $1,005.42 / $1,582.61 / $2,199.21	Professional		$1,005.42	$1,582.61	$2,199.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,287.77 / $2,050.02 / $3,311.41	Professional		$1,287.77	$2,050.02	$3,311.41
United Facility/Professional Facility Modifier Low / Median / High Price $4,364.00 / $12,923.00 / $20,609.00	Facility		$4,364.00	$12,923.00	$20,609.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,487.35 / $2,132.37 / $4,050.91	Professional		$1,487.35	$2,132.37	$4,050.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $279.83 / $1,501.56 / $1,501.56	Professional		$279.83	$1,501.56	$1,501.56