Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.16 / $3,279.00 / $12,444.00	Facility		$392.16	$3,279.00	$12,444.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,397.00 / $1,397.00 / $3,195.59	Facility	50	$1,397.00	$1,397.00	$3,195.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.89 / $426.58 / $810.83	Professional		$239.89	$426.58	$810.83
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $639.87 / $681.48 / $1,399.82	Professional	50	$639.87	$681.48	$1,399.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $210.88 / $249.99 / $390.52	Professional		$210.88	$249.99	$390.52
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $522.79 / $522.79 / $522.79	Professional	50	$522.79	$522.79	$522.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.77 / $12,361.00 / $54,020.00	Facility		$144.77	$12,361.00	$54,020.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.88 / $415.25 / $949.29	Professional		$173.88	$415.25	$949.29
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,881.00 / $6,066.00	Facility		$1,735.00	$2,881.00	$6,066.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $159.49 / $230.58 / $474.41	Professional		$159.49	$230.58	$474.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $174.92 / $241.24 / $387.64	Professional		$174.92	$241.24	$387.64
United Facility/Professional Facility Modifier Low / Median / High Price $539.00 / $2,671.00 / $5,507.00	Facility		$539.00	$2,671.00	$5,507.00
United Facility/Professional Professional Modifier Low / Median / High Price $336.71 / $469.14 / $899.50	Professional		$336.71	$469.14	$899.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $202.44 / $224.11 / $224.11	Professional		$202.44	$224.11	$224.11