Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $474.00 / $3,969.00 / $11,481.00	Facility		$474.00	$3,969.00	$11,481.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $180.76 / $192.05 / $192.09	Facility	52	$180.76	$192.05	$192.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.62 / $423.69 / $668.31	Professional		$367.62	$423.69	$668.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $271.38 / $414.64 / $626.25	Professional		$271.38	$414.64	$626.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $432.00 / $1,574.05 / $1,873.87	Facility		$432.00	$1,574.05	$1,873.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.22 / $548.42 / $904.26	Professional		$354.22	$548.42	$904.26
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $5,979.00 / $12,804.00 / $23,031.00	Facility		$5,979.00	$12,804.00	$23,031.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $206.69 / $413.38 / $539.49	Professional		$206.69	$413.38	$539.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.27 / $365.51 / $593.98	Professional		$65.27	$365.51	$593.98
United Facility/Professional Facility Modifier Low / Median / High Price $1,954.00 / $5,889.00 / $10,192.00	Facility		$1,954.00	$5,889.00	$10,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $334.00 / $461.76 / $815.04	Professional		$334.00	$461.76	$815.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $326.30 / $326.30 / $417.50	Professional		$326.30	$326.30	$417.50