Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.27 / $2,736.00 / $8,269.00	Facility		$316.27	$2,736.00	$8,269.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $73.93 / $117.42 / $158.13	Facility	52	$73.93	$117.42	$158.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.09 / $300.62 / $501.02	Professional		$157.09	$300.62	$501.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.63 / $143.62 / $227.37	Professional		$76.63	$143.62	$227.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $432.00 / $1,605.10 / $1,910.83	Facility		$432.00	$1,605.10	$1,910.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.67 / $322.35 / $598.08	Professional		$173.67	$322.35	$598.08
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $5,979.00 / $12,759.00 / $23,031.00	Facility		$5,979.00	$12,759.00	$23,031.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $241.98 / $259.27 / $456.03	Professional		$241.98	$259.27	$456.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $268.89 / $398.11 / $533.03	Professional		$268.89	$398.11	$533.03
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 $288.62 / $431.41 / $745.08	Professional		$288.62	$431.41	$745.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $131.49 / $280.35 / $280.35	Professional		$131.49	$280.35	$280.35