Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.08 / $3,279.00 / $12,444.00	Facility		$254.08	$3,279.00	$12,444.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,196.27 / $2,907.00 / $12,259.52	Facility	50	$1,196.27	$2,907.00	$12,259.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.78 / $405.86 / $1,123.95	Professional		$236.78	$405.86	$1,123.95
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $744.19 / $931.22 / $1,092.49	Professional	50	$744.19	$931.22	$1,092.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $271.22 / $322.32 / $548.84	Professional		$271.22	$322.32	$548.84
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $446.61 / $739.02 / $1,351.50	Professional	50	$446.61	$739.02	$1,351.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.85 / $12,361.00 / $54,020.00	Facility		$171.85	$12,361.00	$54,020.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.04 / $463.15 / $1,202.83	Professional		$239.04	$463.15	$1,202.83
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 $224.47 / $462.74 / $1,079.72	Professional		$224.47	$462.74	$1,079.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.41 / $271.43 / $454.19	Professional		$32.41	$271.43	$454.19
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 $260.22 / $532.51 / $1,218.36	Professional		$260.22	$532.51	$1,218.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $229.79 / $257.11 / $257.11	Professional		$229.79	$257.11	$257.11