Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $743.00 / $4,084.30 / $11,132.40	Facility		$743.00	$4,084.30	$11,132.40
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,168.29 / $5,168.29 / $11,461.22	Facility	50	$5,168.29	$5,168.29	$11,461.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $494.18 / $606.16 / $1,332.61	Professional		$494.18	$606.16	$1,332.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $562.21 / $702.76 / $956.06	Professional		$562.21	$702.76	$956.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $432.00 / $921.94 / $1,097.55	Facility		$432.00	$921.94	$1,097.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $495.69 / $768.47 / $1,198.26	Professional		$495.69	$768.47	$1,198.26
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $3,144.00 / $5,784.00 / $11,062.00	Facility		$3,144.00	$5,784.00	$11,062.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $260.85 / $491.04 / $673.74	Professional		$260.85	$491.04	$673.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.02 / $557.65 / $839.10	Professional		$69.02	$557.65	$839.10
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 $430.85 / $601.59 / $1,079.21	Professional		$430.85	$601.59	$1,079.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $474.90 / $474.90 / $528.50	Professional		$474.90	$474.90	$528.50