Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.39 / $3,276.00 / $11,550.00	Facility		$183.39	$3,276.00	$11,550.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $37.84 / $62.48 / $97.79	Facility	52	$37.84	$62.48	$97.79
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $15.14 / $24.99 / $39.11	Facility	53	$15.14	$24.99	$39.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.76 / $166.51 / $318.95	Professional		$83.76	$166.51	$318.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $78.26 / $78.26 / $151.37	Professional		$78.26	$78.26	$151.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.60 / $501.76 / $1,652.00	Facility		$147.60	$501.76	$1,652.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $118.08 / $118.08 / $118.08	Facility	52	$118.08	$118.08	$118.08
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $29.52 / $29.52 / $29.52	Facility	53	$29.52	$29.52	$29.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.20 / $193.37 / $414.82	Professional		$89.20	$193.37	$414.82
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,894.00 / $3,083.00 / $6,645.00	Facility		$1,894.00	$3,083.00	$6,645.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $90.93 / $194.85 / $293.17	Professional		$90.93	$194.85	$293.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.34 / $244.46 / $363.26	Professional		$150.34	$244.46	$363.26
United Facility/Professional Facility Modifier Low / Median / High Price $573.00 / $3,514.00 / $7,044.00	Facility		$573.00	$3,514.00	$7,044.00
United Facility/Professional Professional Modifier Low / Median / High Price $172.87 / $243.27 / $437.95	Professional		$172.87	$243.27	$437.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $66.89 / $151.25 / $151.25	Professional		$66.89	$151.25	$151.25