Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $3,388.44 / $8,317.64	Facility		$776.25	$3,388.44	$8,317.64
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $77.62 / $77.62 / $77.62	Facility	53	$77.62	$77.62	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $416.87 / $1,258.93	Professional		$147.91	$416.87	$1,258.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $257.04 / $776.25	Professional		$134.90	$257.04	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $707.95 / $1,737.80	Facility		$275.42	$707.95	$1,737.80
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $54.95 / $54.95 / $54.95	Facility	53	$54.95	$54.95	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $467.74 / $1,071.52	Professional		$169.82	$467.74	$1,071.52
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $9,549.93	Facility		$2,630.27	$4,786.30	$9,549.93
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $354.81 / $676.08	Professional		$331.13	$354.81	$676.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $562.34	Professional		$32.36	$33.11	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $3,548.13 / $6,760.83	Facility		$933.25	$3,548.13	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $467.74 / $1,047.13	Professional		$165.96	$467.74	$1,047.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $371.54 / $467.74	Professional		$123.03	$371.54	$467.74