Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $754.53 / $3,279.00 / $8,458.04	Facility		$754.53	$3,279.00	$8,458.04
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $27.64 / $76.98 / $114.59	Facility	53	$27.64	$76.98	$114.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.72 / $415.27 / $878.62	Professional		$141.72	$415.27	$878.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $149.29 / $182.94 / $545.66	Professional		$149.29	$182.94	$545.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $707.40 / $1,689.45	Facility		$323.00	$707.40	$1,689.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.11 / $446.51 / $1,055.29	Professional		$166.11	$446.51	$1,055.29
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2,538.00 / $4,818.00 / $9,282.00	Facility		$2,538.00	$4,818.00	$9,282.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $318.30 / $345.01 / $707.75	Professional		$318.30	$345.01	$707.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $337.51 / $511.01 / $691.31	Professional		$337.51	$511.01	$691.31
United Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,611.00 / $8,105.00	Facility		$803.00	$3,611.00	$8,105.00
United Facility/Professional Professional Modifier Low / Median / High Price $510.66 / $744.15 / $1,276.66	Professional		$510.66	$744.15	$1,276.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $123.07 / $371.75 / $371.75	Professional		$123.07	$371.75	$371.75