Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $556.98 / $5,356.80 / $11,576.00	Facility		$556.98	$5,356.80	$11,576.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,436.38 / $3,533.62 / $9,178.59	Facility	50	$2,436.38	$3,533.62	$9,178.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $464.23 / $631.24 / $957.67	Professional		$464.23	$631.24	$957.67
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $787.82 / $835.47 / $1,630.29	Professional	50	$787.82	$835.47	$1,630.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $386.22 / $551.69 / $772.44	Professional		$386.22	$551.69	$772.44
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $798.43 / $876.80 / $1,075.99	Professional	50	$798.43	$876.80	$1,075.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $611.00 / $1,022.68 / $1,217.48	Facility		$611.00	$1,022.68	$1,217.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $473.47 / $741.01 / $1,325.13	Professional		$473.47	$741.01	$1,325.13
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $3,105.00 / $5,731.00 / $11,037.00	Facility		$3,105.00	$5,731.00	$11,037.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $308.60 / $514.33 / $836.01	Professional		$308.60	$514.33	$836.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.30 / $523.29 / $961.85	Professional		$75.30	$523.29	$961.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,681.00 / $5,811.00 / $10,057.00	Facility		$1,681.00	$5,811.00	$10,057.00
United Facility/Professional Professional Modifier Low / Median / High Price $517.99 / $702.99 / $1,230.58	Professional		$517.99	$702.99	$1,230.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $451.92 / $559.92 / $559.92	Professional		$451.92	$559.92	$559.92