Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $668.00 / $4,732.00 / $11,576.00	Facility		$668.00	$4,732.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $299.37 / $1,022.92 / $1,375.00	Professional		$299.37	$1,022.92	$1,375.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $5,974.32 / $5,974.32 / $5,974.32	Professional	50	$5,974.32	$5,974.32	$5,974.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $378.47 / $824.23 / $914.64	Professional		$378.47	$824.23	$914.64
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 $284.72 / $822.69 / $2,053.89	Professional		$284.72	$822.69	$2,053.89
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 $620.39 / $664.70 / $2,061.67	Professional		$620.39	$664.70	$2,061.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $670.71 / $1,004.67 / $1,319.45	Professional		$670.71	$1,004.67	$1,319.45
United Facility/Professional Facility Modifier Low / Median / High Price $2,637.00 / $8,197.00 / $12,748.00	Facility		$2,637.00	$8,197.00	$12,748.00
United Facility/Professional Professional Modifier Low / Median / High Price $943.10 / $1,474.89 / $2,455.96	Professional		$943.10	$1,474.89	$2,455.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $208.86 / $720.27 / $720.27	Professional		$208.86	$720.27	$720.27