Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $6,760.83 / $13,182.57	Facility		$1,995.26	$6,760.83	$13,182.57
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,801.89 / $9,332.54 / $26,302.68	Facility	50	$3,801.89	$9,332.54	$26,302.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $741.31 / $1,698.24	Professional		$467.74	$741.31	$1,698.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $588.84 / $1,000.00	Professional		$416.87	$588.84	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,621.81 / $1,995.26	Facility		$616.60	$1,621.81	$1,995.26
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility	22	$1,071.52	$1,071.52	$1,071.52
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $89.13 / $89.13 / $89.13	Facility	AS	$89.13	$89.13	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $660.69 / $1,148.15	Professional		$436.52	$660.69	$1,148.15
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $11,748.98 / $22,908.68	Facility		$5,495.41	$11,748.98	$22,908.68
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $457.09 / $630.96	Professional		$263.03	$457.09	$630.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $676.08	Professional		$32.36	$33.11	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $7,585.78 / $11,748.98	Facility		$2,290.87	$7,585.78	$11,748.98
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $537.03 / $933.25	Professional		$398.11	$537.03	$933.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $537.03	Professional		$407.38	$407.38	$537.03