Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.86 / $3,276.00 / $9,639.00	Facility		$246.86	$3,276.00	$9,639.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $55.29 / $89.98 / $123.43	Facility	52	$55.29	$89.98	$123.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.52 / $208.05 / $413.60	Professional		$117.52	$208.05	$413.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $116.88 / $173.39 / $232.40	Professional		$116.88	$173.39	$232.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $789.58 / $939.97	Facility		$323.00	$789.58	$939.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.52 / $233.29 / $453.17	Professional		$132.52	$233.29	$453.17
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2,561.00 / $4,821.00 / $9,360.00	Facility		$2,561.00	$4,821.00	$9,360.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $166.95 / $178.88 / $314.63	Professional		$166.95	$178.88	$314.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $195.76 / $289.45 / $387.67	Professional		$195.76	$289.45	$387.67
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 $211.24 / $318.19 / $515.29	Professional		$211.24	$318.19	$515.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $99.58 / $192.00 / $192.00	Professional		$99.58	$192.00	$192.00