Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.71 / $1,115.00 / $6,821.00	Facility		$185.71	$1,115.00	$6,821.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $38.25 / $48.47 / $70.19	Facility	52	$38.25	$48.47	$70.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.45 / $110.50 / $196.63	Professional		$78.45	$110.50	$196.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.90 / $112.88 / $130.24	Professional		$72.90	$112.88	$130.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.48 / $80.61 / $95.96	Facility		$79.48	$80.61	$95.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.64 / $125.10 / $202.10	Professional		$82.64	$125.10	$202.10
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,881.00 / $6,066.00	Facility		$1,735.00	$2,881.00	$6,066.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $64.00 / $97.72 / $149.53	Professional		$64.00	$97.72	$149.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.02 / $118.75 / $168.43	Professional		$79.02	$118.75	$168.43
United Facility/Professional Facility Modifier Low / Median / High Price $366.00 / $1,950.00 / $4,970.00	Facility		$366.00	$1,950.00	$4,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $91.79 / $117.38 / $208.18	Professional		$91.79	$117.38	$208.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $74.81 / $99.83 / $99.83	Professional		$74.81	$99.83	$99.83