Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $545.00 / $3,276.00 / $11,576.00	Facility		$545.00	$3,276.00	$11,576.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,130.16 / $1,130.16 / $1,130.16	Facility	50	$1,130.16	$1,130.16	$1,130.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.59 / $975.03 / $1,724.94	Professional		$227.59	$975.03	$1,724.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $96.07 / $315.74 / $1,021.72	Professional		$96.07	$315.74	$1,021.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $224.83 / $236.66 / $397.55	Facility		$224.83	$236.66	$397.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $247.53 / $746.91 / $2,159.62	Professional		$247.53	$746.91	$2,159.62
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $50.91 / $54.30 / $58.72	Facility		$50.91	$54.30	$58.72
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $271.20 / $769.04 / $1,417.71	Professional		$271.20	$769.04	$1,417.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $784.94 / $1,239.19 / $2,026.70	Professional		$784.94	$1,239.19	$2,026.70
United Facility/Professional Facility Modifier Low / Median / High Price $351.00 / $1,916.00 / $4,970.00	Facility		$351.00	$1,916.00	$4,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $984.02 / $1,458.13 / $2,713.79	Professional		$984.02	$1,458.13	$2,713.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $176.94 / $903.08 / $903.08	Professional		$176.94	$903.08	$903.08