Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $778.00 / $4,594.00 / $11,550.00	Facility		$778.00	$4,594.00	$11,550.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,905.58 / $16,279.20 / $19,320.00	Facility	50	$2,905.58	$16,279.20	$19,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $320.14 / $995.99 / $2,120.57	Professional		$320.14	$995.99	$2,120.57
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,747.58 / $1,747.58 / $1,876.17	Professional	50	$1,747.58	$1,747.58	$1,876.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $365.60 / $893.08 / $1,680.67	Professional		$365.60	$893.08	$1,680.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $1,583.55 / $1,885.18	Facility		$494.00	$1,583.55	$1,885.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $285.77 / $904.07 / $2,503.37	Professional		$285.77	$904.07	$2,503.37
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $4,169.00 / $8,416.00 / $15,897.00	Facility		$4,169.00	$8,416.00	$15,897.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $672.21 / $720.23 / $2,237.44	Professional		$672.21	$720.23	$2,237.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $721.89 / $1,075.27 / $1,413.74	Professional		$721.89	$1,075.27	$1,413.74
United Facility/Professional Facility Modifier Low / Median / High Price $2,774.00 / $7,973.00 / $12,040.00	Facility		$2,774.00	$7,973.00	$12,040.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,176.42 / $1,777.42 / $3,089.09	Professional		$1,176.42	$1,777.42	$3,089.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $208.34 / $781.29 / $781.29	Professional		$208.34	$781.29	$781.29