Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $2,511.89 / $6,918.31	Facility		$549.54	$2,511.89	$6,918.31
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,137.96 / $3,162.28 / $7,585.78	Facility	50	$2,137.96	$3,162.28	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $407.38 / $954.99	Professional		$190.55	$407.38	$954.99
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $288.40 / $645.65 / $2,754.23	Professional	50	$288.40	$645.65	$2,754.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $389.05 / $676.08	Professional		$173.78	$389.05	$676.08
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $263.03 / $537.03 / $676.08	Professional	50	$263.03	$537.03	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $912.01 / $1,096.48	Facility		$34.67	$912.01	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $398.11 / $758.58	Professional		$190.55	$398.11	$758.58
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $5,888.44 / $11,481.54	Facility		$3,235.94	$5,888.44	$11,481.54
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $354.81 / $501.19	Professional		$251.19	$354.81	$501.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $147.91 / $588.84	Professional		$32.36	$147.91	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,623.41 / $9,772.37	Facility		$1,698.24	$5,623.41	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $346.74 / $660.69	Professional		$186.21	$346.74	$660.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $331.13 / $478.63	Professional		$147.91	$331.13	$478.63