Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.52 / $718.00 / $8,529.00	Facility		$93.52	$718.00	$8,529.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.38 / $93.52 / $207.26	Professional		$56.38	$93.52	$207.26
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $27.72 / $42.35 / $61.23	Professional	52	$27.72	$42.35	$61.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.10 / $102.18 / $194.71	Professional		$89.10	$102.18	$194.71
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $53.93 / $53.93 / $53.93	Professional	52	$53.93	$53.93	$53.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.73 / $93.92 / $161.87	Professional		$55.73	$93.92	$161.87
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,438.00 / $2,394.00 / $4,243.00	Facility		$1,438.00	$2,394.00	$4,243.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $54.18 / $80.64 / $127.49	Professional		$54.18	$80.64	$127.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.52 / $113.37 / $164.01	Professional		$74.52	$113.37	$164.01
United Facility/Professional Facility Modifier Low / Median / High Price $351.00 / $1,916.00 / $4,970.00	Facility		$351.00	$1,916.00	$4,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $74.95 / $98.03 / $178.82	Professional		$74.95	$98.03	$178.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $53.36 / $86.81 / $86.81	Professional		$53.36	$86.81	$86.81