Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $778.00 / $4,755.00 / $11,576.00	Facility		$778.00	$4,755.00	$11,576.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $7,821.97 / $7,821.97 / $9,896.95	Facility	50	$7,821.97	$7,821.97	$9,896.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $762.07 / $908.87 / $1,596.20	Professional		$762.07	$908.87	$1,596.20
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,241.33 / $1,241.33 / $6,841.86	Professional	50	$1,241.33	$1,241.33	$6,841.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,000.71 / $1,026.33 / $1,653.23	Professional		$1,000.71	$1,026.33	$1,653.23
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $2,479.85 / $2,479.85 / $2,479.85	Professional	50	$2,479.85	$2,479.85	$2,479.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $1,581.91 / $1,883.22	Facility		$494.00	$1,581.91	$1,883.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $749.27 / $1,086.55 / $1,955.32	Professional		$749.27	$1,086.55	$1,955.32
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $5,790.00 / $12,742.00 / $23,031.00	Facility		$5,790.00	$12,742.00	$23,031.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $397.78 / $705.78 / $1,152.33	Professional		$397.78	$705.78	$1,152.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $113.37 / $760.45 / $1,345.02	Professional		$113.37	$760.45	$1,345.02
United Facility/Professional Facility Modifier Low / Median / High Price $2,637.00 / $8,136.00 / $12,748.00	Facility		$2,637.00	$8,136.00	$12,748.00
United Facility/Professional Professional Modifier Low / Median / High Price $662.97 / $905.03 / $1,625.80	Professional		$662.97	$905.03	$1,625.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $779.51 / $779.51 / $779.51	Professional		$779.51	$779.51	$779.51