Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $528.24 / $2,917.00 / $8,159.00	Facility		$528.24	$2,917.00	$8,159.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $38.10 / $760.85 / $1,131.83	Facility	52	$38.10	$760.85	$1,131.83
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $14.26 / $15.24 / $66.27	Facility	53	$14.26	$15.24	$66.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.18 / $311.87 / $488.83	Professional		$76.18	$311.87	$488.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.33 / $97.20 / $345.37	Professional		$75.33	$97.20	$345.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.35 / $19,890.00 / $58,053.00	Facility		$630.35	$19,890.00	$58,053.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.79 / $212.45 / $605.77	Professional		$79.79	$212.45	$605.77
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 $238.04 / $255.04 / $514.34	Professional		$238.04	$255.04	$514.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $287.59 / $399.25 / $522.12	Professional		$287.59	$399.25	$522.12
United Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $4,412.00 / $12,394.00	Facility		$803.00	$4,412.00	$12,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $328.56 / $460.27 / $793.52	Professional		$328.56	$460.27	$793.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $62.81 / $280.35 / $280.35	Professional		$62.81	$280.35	$280.35