Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $3,235.94 / $9,332.54	Facility		$602.56	$3,235.94	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $724.44 / $1,318.26	Professional		$512.86	$724.44	$1,318.26
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,148.15 / $1,445.44 / $2,137.96	Professional	50	$1,148.15	$1,445.44	$2,137.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $489.78 / $1,000.00	Facility		$331.13	$489.78	$1,000.00
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $691.83 / $691.83 / $691.83	Facility	54	$691.83	$691.83	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $691.83 / $1,348.96	Professional		$457.09	$691.83	$1,348.96
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,801.89 / $7,413.10	Facility		$2,290.87	$3,801.89	$7,413.10
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $512.86 / $758.58	Professional		$295.12	$512.86	$758.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $776.25	Professional		$32.36	$33.11	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $3,548.13 / $6,760.83	Facility		$776.25	$3,548.13	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $602.56 / $1,047.13	Professional		$436.52	$602.56	$1,047.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $524.81 / $676.08	Professional		$457.09	$524.81	$676.08