Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.50 / $3,313.55 / $11,576.00	Facility		$200.50	$3,313.55	$11,576.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $36.46 / $76.86 / $100.25	Facility	52	$36.46	$76.86	$100.25
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $14.58 / $30.75 / $40.10	Facility	53	$14.58	$30.75	$40.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.20 / $186.66 / $382.63	Professional		$87.20	$186.66	$382.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.48 / $102.33 / $143.88	Professional		$70.48	$102.33	$143.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,583.55 / $19,890.00 / $58,053.00	Facility		$1,583.55	$19,890.00	$58,053.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.37 / $188.17 / $354.57	Professional		$86.37	$188.17	$354.57
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $4,169.00 / $8,416.00 / $15,897.00	Facility		$4,169.00	$8,416.00	$15,897.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $137.38 / $147.19 / $325.67	Professional		$137.38	$147.19	$325.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.30 / $213.20 / $279.47	Professional		$138.30	$213.20	$279.47
United Facility/Professional Facility Modifier Low / Median / High Price $539.00 / $3,117.00 / $12,394.00	Facility		$539.00	$3,117.00	$12,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $186.51 / $270.45 / $453.78	Professional		$186.51	$270.45	$453.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $63.58 / $158.81 / $158.81	Professional		$63.58	$158.81	$158.81