Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $4,168.69 / $14,791.08	Facility		$630.96	$4,168.69	$14,791.08
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility	22	$1,380.38	$1,380.38	$1,380.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $549.54 / $1,096.48	Professional		$426.58	$549.54	$1,096.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $524.81 / $870.96	Professional		$407.38	$524.81	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $11,220.18 / $26,915.35	Facility		$1,659.59	$11,220.18	$26,915.35
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $954.99 / $954.99 / $954.99	Facility	22	$954.99	$954.99	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $645.65 / $1,288.25	Professional		$398.11	$645.65	$1,288.25
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 $302.00 / $323.59 / $549.54	Professional		$302.00	$323.59	$549.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $602.56	Professional		$32.36	$33.11	$602.56
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 $398.11 / $575.44 / $1,000.00	Professional		$398.11	$575.44	$1,000.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $426.58	Professional		$354.81	$354.81	$426.58