Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.42 / $3,063.00 / $11,624.00	Facility		$245.42	$3,063.00	$11,624.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $7.23 / $7.89 / $8.96	Facility	53	$7.23	$7.89	$8.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $48.74 / $176.90	Professional		$39.46	$48.74	$176.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.89 / $52.01 / $69.70	Professional		$27.89	$52.01	$69.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12,499.00 / $22,806.00 / $58,053.00	Facility		$12,499.00	$22,806.00	$58,053.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.36 / $60.97 / $93.32	Professional		$39.36	$60.97	$93.32
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $50.91 / $54.30 / $58.72	Facility		$50.91	$54.30	$58.72
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $29.77 / $31.90 / $64.31	Professional		$29.77	$31.90	$64.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.96 / $37.20 / $48.66	Professional		$26.96	$37.20	$48.66
United Facility/Professional Facility Modifier Low / Median / High Price $345.00 / $1,916.00 / $12,394.00	Facility		$345.00	$1,916.00	$12,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $39.14 / $56.18 / $100.92	Professional		$39.14	$56.18	$100.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.94 / $32.94 / $32.94	Professional		$32.94	$32.94	$32.94