Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $615.91 / $2,840.48 / $8,159.00	Facility		$615.91	$2,840.48	$8,159.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $55.92 / $115.96 / $3,295.00	Facility	52	$55.92	$115.96	$3,295.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $21.06 / $43.92 / $1,847.85	Facility	53	$21.06	$43.92	$1,847.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.69 / $232.58 / $496.51	Professional		$118.69	$232.58	$496.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.78 / $139.97 / $230.71	Professional		$68.78	$139.97	$230.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $206.39 / $501.76 / $1,652.00	Facility		$206.39	$501.76	$1,652.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $165.11 / $165.11 / $165.11	Facility	52	$165.11	$165.11	$165.11
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $41.28 / $41.28 / $41.28	Facility	53	$41.28	$41.28	$41.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.08 / $249.32 / $481.06	Professional		$127.08	$249.32	$481.06
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,902.00 / $3,099.00 / $6,645.00	Facility		$1,902.00	$3,099.00	$6,645.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $127.14 / $256.10 / $323.45	Professional		$127.14	$256.10	$323.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $180.86 / $280.51 / $405.91	Professional		$180.86	$280.51	$405.91
United Facility/Professional Facility Modifier Low / Median / High Price $573.00 / $3,514.00 / $8,024.00	Facility		$573.00	$3,514.00	$8,024.00
United Facility/Professional Professional Modifier Low / Median / High Price $216.00 / $297.91 / $513.75	Professional		$216.00	$297.91	$513.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $93.19 / $218.05 / $218.05	Professional		$93.19	$218.05	$218.05