Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.30 / $2,815.00 / $10,632.00	Facility		$103.30	$2,815.00	$10,632.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.95 / $105.95 / $180.75	Professional		$68.95	$105.95	$180.75
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $34.28 / $50.43 / $72.58	Professional	52	$34.28	$50.43	$72.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $96.61 / $119.35 / $131.16	Professional		$96.61	$119.35	$131.16
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $24.15 / $24.15 / $24.15	Professional	52	$24.15	$24.15	$24.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.34 / $111.66 / $192.37	Professional		$69.34	$111.66	$192.37
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 $65.31 / $95.53 / $150.57	Professional		$65.31	$95.53	$150.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.52 / $117.15 / $166.57	Professional		$77.52	$117.15	$166.57
United Facility/Professional Facility Modifier Low / Median / High Price $270.00 / $1,911.00 / $4,970.00	Facility		$270.00	$1,911.00	$4,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $89.39 / $116.54 / $203.47	Professional		$89.39	$116.54	$203.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $65.11 / $101.87 / $101.87	Professional		$65.11	$101.87	$101.87