Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $434.82 / $3,279.00 / $11,550.00	Facility		$434.82	$3,279.00	$11,550.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $63.44 / $75.59 / $406.06	Facility	52	$63.44	$75.59	$406.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.35 / $406.00 / $980.97	Professional		$135.35	$406.00	$980.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.02 / $194.64 / $247.42	Professional		$173.02	$194.64	$247.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $630.35 / $750.42	Facility		$323.00	$630.35	$750.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.84 / $434.24 / $1,218.55	Professional		$148.84	$434.24	$1,218.55
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 $414.65 / $465.84 / $1,003.20	Professional		$414.65	$465.84	$1,003.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $455.64 / $689.88 / $938.35	Professional		$455.64	$689.88	$938.35
United Facility/Professional Facility Modifier Low / Median / High Price $539.00 / $2,671.00 / $5,507.00	Facility		$539.00	$2,671.00	$5,507.00
United Facility/Professional Professional Modifier Low / Median / High Price $518.19 / $859.74 / $1,404.16	Professional		$518.19	$859.74	$1,404.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $111.83 / $488.18 / $488.18	Professional		$111.83	$488.18	$488.18