Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.72 / $4,755.00 / $11,655.00	Facility		$501.72	$4,755.00	$11,655.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,545.20 / $3,159.40 / $14,332.25	Facility	50	$1,545.20	$3,159.40	$14,332.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $448.98 / $643.55 / $1,124.39	Professional		$448.98	$643.55	$1,124.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $253.14 / $444.83 / $610.28	Professional		$253.14	$444.83	$610.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.25 / $232.93 / $494.00	Facility		$229.25	$232.93	$494.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $341.68 / $660.24 / $1,197.10	Professional		$341.68	$660.24	$1,197.10
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 $334.82 / $358.74 / $723.46	Professional		$334.82	$358.74	$723.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.56 / $420.45 / $593.20	Professional		$65.56	$420.45	$593.20
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 $459.07 / $686.45 / $1,356.78	Professional		$459.07	$686.45	$1,356.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $250.73 / $372.26 / $372.26	Professional		$250.73	$372.26	$372.26