Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $342.97 / $3,000.00 / $11,481.00	Facility		$342.97	$3,000.00	$11,481.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,857.14 / $4,993.60 / $11,770.29	Facility	50	$2,857.14	$4,993.60	$11,770.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.12 / $352.18 / $555.46	Professional		$189.12	$352.18	$555.46
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $582.19 / $2,564.01 / $17,081.28	Professional	50	$582.19	$2,564.01	$17,081.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.91 / $375.24 / $739.90	Professional		$173.91	$375.24	$739.90
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $260.86 / $459.77 / $562.86	Professional	50	$260.86	$459.77	$562.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $921.94 / $1,097.55	Facility		$323.00	$921.94	$1,097.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.19 / $405.19 / $741.72	Professional		$191.19	$405.19	$741.72
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $3,122.00 / $5,734.00 / $11,062.00	Facility		$3,122.00	$5,734.00	$11,062.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $205.70 / $403.49 / $489.51	Professional		$205.70	$403.49	$489.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.29 / $362.39 / $555.55	Professional		$34.29	$362.39	$555.55
United Facility/Professional Facility Modifier Low / Median / High Price $1,954.00 / $5,889.00 / $10,192.00	Facility		$1,954.00	$5,889.00	$10,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $317.98 / $463.24 / $769.83	Professional		$317.98	$463.24	$769.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $147.32 / $329.11 / $329.11	Professional		$147.32	$329.11	$329.11