Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $526.00 / $3,276.00 / $8,269.00	Facility		$526.00	$3,276.00	$8,269.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $56.76 / $90.08 / $123.92	Facility	52	$56.76	$90.08	$123.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.66 / $217.34 / $448.57	Professional		$119.66	$217.34	$448.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.38 / $160.94 / $246.70	Professional		$117.38	$160.94	$246.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $432.00 / $789.58 / $939.97	Facility		$432.00	$789.58	$939.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.40 / $236.19 / $452.45	Professional		$132.40	$236.19	$452.45
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 $169.26 / $181.35 / $318.98	Professional		$169.26	$181.35	$318.98
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 $216.18 / $321.82 / $533.33	Professional		$216.18	$321.82	$533.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $100.60 / $195.32 / $195.32	Professional		$100.60	$195.32	$195.32