Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $414.99 / $6,024.00 / $11,655.00	Facility		$414.99	$6,024.00	$11,655.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,905.58 / $15,195.06 / $16,091.04	Facility	50	$2,905.58	$15,195.06	$16,091.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.40 / $539.13 / $920.00	Professional		$371.40	$539.13	$920.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $799.37 / $805.44 / $2,929.50	Professional	50	$799.37	$805.44	$2,929.50
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $150.13 / $227.56 / $369.67	Professional	52	$150.13	$227.56	$369.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $184.59 / $354.99 / $431.00	Professional		$184.59	$354.99	$431.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.12 / $207.40 / $494.00	Facility		$204.12	$207.40	$494.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.39 / $539.55 / $997.25	Professional		$278.39	$539.55	$997.25
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 $280.87 / $300.93 / $606.89	Professional		$280.87	$300.93	$606.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.63 / $378.35 / $510.02	Professional		$34.63	$378.35	$510.02
United Facility/Professional Facility Modifier Low / Median / High Price $2,641.00 / $7,887.00 / $11,950.00	Facility		$2,641.00	$7,887.00	$11,950.00
United Facility/Professional Professional Modifier Low / Median / High Price $388.98 / $582.50 / $1,089.32	Professional		$388.98	$582.50	$1,089.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $203.24 / $313.79 / $313.79	Professional		$203.24	$313.79	$313.79