Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.44 / $4,519.00 / $11,550.00	Facility		$253.44	$4,519.00	$11,550.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,049.64 / $5,439.00 / $10,482.54	Facility	50	$3,049.64	$5,439.00	$10,482.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.53 / $269.27 / $427.88	Professional		$183.53	$269.27	$427.88
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,820.94 / $1,820.94 / $1,820.94	Professional	50	$1,820.94	$1,820.94	$1,820.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $202.30 / $675.16 / $675.16	Professional		$202.30	$675.16	$675.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $432.00 / $705.99 / $840.46	Facility		$432.00	$705.99	$840.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.79 / $316.64 / $505.23	Professional		$199.79	$316.64	$505.23
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2,561.00 / $4,821.00 / $9,360.00	Facility		$2,561.00	$4,821.00	$9,360.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $206.95 / $221.74 / $447.18	Professional		$206.95	$221.74	$447.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.47 / $254.34 / $378.84	Professional		$32.47	$254.34	$378.84
United Facility/Professional Facility Modifier Low / Median / High Price $879.00 / $3,611.00 / $6,730.00	Facility		$879.00	$3,611.00	$6,730.00
United Facility/Professional Professional Modifier Low / Median / High Price $250.67 / $363.12 / $665.28	Professional		$250.67	$363.12	$665.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $155.75 / $234.13 / $234.13	Professional		$155.75	$234.13	$234.13