Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $2,454.71 / $7,079.46	Facility		$467.74	$2,454.71	$7,079.46
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $831.76 / $1,778.28 / $3,715.35	Facility	52	$831.76	$1,778.28	$3,715.35
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $1,862.09 / $2,398.83 / $2,398.83	Facility	53	$1,862.09	$2,398.83	$2,398.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $269.15 / $691.83	Professional		$114.82	$269.15	$691.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $138.04 / $234.42	Professional		$93.33	$138.04	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $501.19 / $758.58	Facility		$204.17	$501.19	$758.58
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $245.47 / $245.47 / $245.47	Facility	22	$245.47	$245.47	$245.47
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $165.96 / $165.96 / $165.96	Facility	52	$165.96	$165.96	$165.96
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $41.69 / $41.69 / $41.69	Facility	53	$41.69	$41.69	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $263.03 / $501.19	Professional		$131.83	$263.03	$501.19
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 $141.25 / $257.04 / $371.54	Professional		$141.25	$257.04	$371.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $91.20 / $363.08	Professional		$32.36	$91.20	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $3,311.31 / $6,760.83	Facility		$707.95	$3,311.31	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $218.78 / $416.87	Professional		$109.65	$218.78	$416.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $218.78 / $316.23	Professional		$93.33	$218.78	$316.23