Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $1,023.29 / $6,025.60	Facility		$186.21	$1,023.29	$6,025.60
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Facility	52	$2,951.21	$2,951.21	$2,951.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $141.25 / $354.81	Professional		$85.11	$141.25	$354.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $123.03 / $194.98	Professional		$83.18	$123.03	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $81.28 / $162.18	Facility		$34.67	$81.28	$162.18
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $128.82 / $128.82 / $128.82	Facility	52	$128.82	$128.82	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $125.89 / $208.93	Professional		$81.28	$125.89	$208.93
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,884.03 / $6,309.57	Facility		$1,819.70	$2,884.03	$6,309.57
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $97.72 / $147.91	Professional		$91.20	$97.72	$147.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $107.15 / $190.55	Professional		$32.36	$107.15	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $1,584.89 / $4,168.69	Facility		$323.59	$1,584.89	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $107.15 / $199.53	Professional		$74.13	$107.15	$199.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $100.00	Professional		$74.13	$74.13	$100.00