Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $642.29 / $4,477.00 / $9,639.00	Facility		$642.29	$4,477.00	$9,639.00
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $3,913.00 / $3,913.00 / $3,913.00	Facility	22	$3,913.00	$3,913.00	$3,913.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,900.09 / $6,343.50 / $14,633.43	Facility	50	$3,900.09	$6,343.50	$14,633.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $356.78 / $439.64 / $743.08	Professional		$356.78	$439.64	$743.08
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $766.76 / $766.76 / $766.76	Professional	50	$766.76	$766.76	$766.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $283.85 / $446.74 / $644.73	Professional		$283.85	$446.74	$644.73
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $674.55 / $796.54 / $1,073.67	Professional	50	$674.55	$796.54	$1,073.67
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 $364.01 / $554.28 / $865.17	Professional		$364.01	$554.28	$865.17
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 $187.77 / $389.78 / $494.49	Professional		$187.77	$389.78	$494.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.52 / $419.85 / $649.76	Professional		$68.52	$419.85	$649.76
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 $317.38 / $444.33 / $816.12	Professional		$317.38	$444.33	$816.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $344.43 / $350.31 / $350.31	Professional		$344.43	$350.31	$350.31