Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.24 / $3,149.76 / $11,481.00	Facility		$521.24	$3,149.76	$11,481.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,152.23 / $1,152.23 / $1,152.23	Facility	50	$1,152.23	$1,152.23	$1,152.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.38 / $657.54 / $1,382.77	Professional		$245.38	$657.54	$1,382.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $108.88 / $233.92 / $412.27	Professional		$108.88	$233.92	$412.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $250.49 / $263.67 / $424.16	Facility		$250.49	$263.67	$424.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.68 / $585.59 / $1,570.98	Professional		$263.68	$585.59	$1,570.98
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 $295.45 / $532.53 / $1,115.77	Professional		$295.45	$532.53	$1,115.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $544.03 / $839.13 / $1,357.04	Professional		$544.03	$839.13	$1,357.04
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 $689.03 / $1,101.00 / $1,945.00	Professional		$689.03	$1,101.00	$1,945.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $188.43 / $607.41 / $607.41	Professional		$188.43	$607.41	$607.41