Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $4,570.88 / $11,748.98	Facility		$812.83	$4,570.88	$11,748.98
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $537.03 / $4,168.69 / $11,748.98	Facility	50	$537.03	$4,168.69	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $501.19 / $1,047.13	Professional		$269.15	$501.19	$1,047.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $331.13 / $588.84	Professional		$208.93	$331.13	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $12,589.25 / $53,703.18	Facility		$1,548.82	$12,589.25	$53,703.18
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $912.01 / $912.01 / $912.01	Facility	22	$912.01	$912.01	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $602.56 / $1,071.52	Professional		$371.54	$602.56	$1,071.52
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $12,022.64 / $22,908.68	Facility		$6,165.95	$12,022.64	$22,908.68
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $331.13 / $436.52	Professional		$316.23	$331.13	$436.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $616.60	Professional		$32.36	$33.11	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $5,623.41 / $9,772.37	Facility		$1,737.80	$5,623.41	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $512.86 / $933.25	Professional		$346.74	$512.86	$933.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $446.68	Professional		$346.74	$346.74	$446.68