Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,291.67 / $6,272.85 / $14,773.85	Facility		$2,291.67	$6,272.85	$14,773.85
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $57.40 / $86.93 / $185.97	Facility	53	$57.40	$86.93	$185.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.62 / $864.50 / $1,726.85	Professional		$305.62	$864.50	$1,726.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $238.70 / $414.65 / $811.71	Professional		$238.70	$414.65	$811.71
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 $333.01 / $743.16 / $1,695.66	Professional		$333.01	$743.16	$1,695.66
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 $610.96 / $654.61 / $1,372.73	Professional		$610.96	$654.61	$1,372.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.64 / $844.55 / $1,153.48	Professional		$103.64	$844.55	$1,153.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,774.00 / $8,675.00 / $12,394.00	Facility		$2,774.00	$8,675.00	$12,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $894.22 / $1,274.19 / $2,176.12	Professional		$894.22	$1,274.19	$2,176.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $251.24 / $516.47 / $516.47	Professional		$251.24	$516.47	$516.47