Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $696.33 / $5,486.00 / $12,740.00	Facility		$696.33	$5,486.00	$12,740.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,720.00 / $8,625.00 / $15,894.00	Facility	50	$4,720.00	$8,625.00	$15,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.16 / $622.66 / $1,090.72	Professional		$278.16	$622.66	$1,090.72
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $908.10 / $931.79 / $4,653.00	Professional	50	$908.10	$931.79	$4,653.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,762.54 / $1,762.54 / $3,525.08	Professional		$1,762.54	$1,762.54	$3,525.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,200.85 / $12,484.00 / $54,020.00	Facility		$5,200.85	$12,484.00	$54,020.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.32 / $657.62 / $1,440.70	Professional		$306.32	$657.62	$1,440.70
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $6,078.00 / $12,767.00 / $23,031.00	Facility		$6,078.00	$12,767.00	$23,031.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $467.01 / $716.80 / $1,015.28	Professional		$467.01	$716.80	$1,015.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.01 / $654.66 / $989.43	Professional		$102.01	$654.66	$989.43
United Facility/Professional Facility Modifier Low / Median / High Price $4,462.00 / $17,475.00 / $54,055.00	Facility		$4,462.00	$17,475.00	$54,055.00
United Facility/Professional Professional Modifier Low / Median / High Price $578.15 / $923.15 / $1,608.07	Professional		$578.15	$923.15	$1,608.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $232.09 / $546.65 / $546.65	Professional		$232.09	$546.65	$546.65