Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $3,090.30 / $9,332.54	Facility		$602.56	$3,090.30	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $199.53 / $512.86	Professional		$85.11	$199.53	$512.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $77.62 / $144.54	Professional		$38.90	$77.62	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $501.19 / $630.96	Facility		$147.91	$501.19	$630.96
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $117.49 / $117.49 / $117.49	Facility	52	$117.49	$117.49	$117.49
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $29.51 / $29.51 / $29.51	Facility	53	$29.51	$29.51	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $208.93 / $446.68	Professional		$93.33	$208.93	$446.68
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,235.94 / $6,606.93	Facility		$2,137.96	$3,235.94	$6,606.93
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $213.80 / $323.59	Professional		$102.33	$213.80	$323.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $64.57 / $251.19	Professional		$32.36	$64.57	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $3,311.31 / $6,606.93	Facility		$707.95	$3,311.31	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $173.78 / $346.74	Professional		$77.62	$173.78	$346.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $151.36 / $281.84	Professional		$67.61	$151.36	$281.84