Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $719.44 / $3,537.00 / $9,938.40	Facility		$719.44	$3,537.00	$9,938.40
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $25.08 / $26.65 / $156.26	Facility	53	$25.08	$26.65	$156.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.84 / $735.34 / $1,091.88	Professional		$131.84	$735.34	$1,091.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.32 / $138.32 / $751.12	Professional		$138.32	$138.32	$751.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $705.99 / $840.46	Facility		$323.00	$705.99	$840.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.86 / $455.22 / $1,626.56	Professional		$145.86	$455.22	$1,626.56
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 $529.36 / $567.16 / $997.61	Professional		$529.36	$567.16	$997.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $640.75 / $900.18 / $1,194.02	Professional		$640.75	$900.18	$1,194.02
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 $800.53 / $1,151.98 / $1,953.67	Professional		$800.53	$1,151.98	$1,953.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $114.13 / $625.54 / $625.54	Professional		$114.13	$625.54	$625.54