Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $5,370.32 / $10,964.78	Facility		$1,148.15	$5,370.32	$10,964.78
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,454.71 / $9,120.11 / $9,120.11	Facility	50	$2,454.71	$9,120.11	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $724.44 / $1,412.54	Professional		$501.19	$724.44	$1,412.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $794.33 / $977.24 / $2,454.71	Professional	50	$794.33	$977.24	$2,454.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $776.25 / $977.24	Professional		$389.05	$776.25	$977.24
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $776.25 / $1,513.56 / $1,584.89	Professional	50	$776.25	$1,513.56	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,000.00 / $1,230.27	Facility		$630.96	$1,000.00	$1,230.27
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility	22	$1,174.90	$1,174.90	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $724.44 / $1,445.44	Professional		$467.74	$724.44	$1,445.44
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $5,888.44 / $11,481.54	Facility		$3,235.94	$5,888.44	$11,481.54
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $549.54 / $851.14	Professional		$331.13	$549.54	$851.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $831.76	Professional		$32.36	$33.11	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,623.41 / $9,772.37	Facility		$1,698.24	$5,623.41	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $630.96 / $1,096.48	Professional		$446.68	$630.96	$1,096.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $562.34 / $724.44	Professional		$457.09	$562.34	$724.44