Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $397.75 / $5,182.00 / $11,576.00	Facility		$397.75	$5,182.00	$11,576.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,561.69 / $2,561.69 / $10,524.18	Facility	50	$2,561.69	$2,561.69	$10,524.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $320.10 / $451.50 / $721.45	Professional		$320.10	$451.50	$721.45
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $125.11 / $593.60 / $3,092.25	Professional	50	$125.11	$593.60	$3,092.25
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $1,158.66 / $1,158.66 / $1,158.66	Professional	50	$1,158.66	$1,158.66	$1,158.66
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 $342.31 / $525.73 / $975.78	Professional		$342.31	$525.73	$975.78
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 $208.71 / $370.27 / $603.57	Professional		$208.71	$370.27	$603.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.83 / $369.22 / $669.96	Professional		$72.83	$369.22	$669.96
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 $361.29 / $480.00 / $858.12	Professional		$361.29	$480.00	$858.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $328.35 / $409.80 / $409.80	Professional		$328.35	$409.80	$409.80