Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,698.24 / $6,606.93	Facility		$512.86	$1,698.24	$6,606.93
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $933.25 / $933.25 / $1,621.81	Facility	50	$933.25	$933.25	$1,621.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $251.19 / $776.25	Professional		$102.33	$251.19	$776.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $131.83 / $218.78	Professional		$87.10	$131.83	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $331.13 / $398.11	Facility		$34.67	$331.13	$398.11
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $147.91 / $147.91 / $147.91	Facility	52	$147.91	$147.91	$147.91
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $37.15 / $37.15 / $37.15	Facility	53	$37.15	$37.15	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $263.03 / $758.58	Professional		$109.65	$263.03	$758.58
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,162.28 / $6,606.93	Facility		$2,137.96	$3,162.28	$6,606.93
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $229.09 / $616.60	Professional		$213.80	$229.09	$616.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $363.08	Professional		$32.36	$33.11	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,570.40 / $5,011.87	Facility		$537.03	$2,570.40	$5,011.87
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $251.19 / $758.58	Professional		$104.71	$251.19	$758.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $234.42 / $302.00	Professional		$81.28	$234.42	$302.00