Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $3,019.95 / $8,511.38	Facility		$758.58	$3,019.95	$8,511.38
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Facility	22	$5,011.87	$5,011.87	$5,011.87
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Facility	52	$4,073.80	$4,073.80	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $309.03 / $891.25	Professional		$77.62	$309.03	$891.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $138.04 / $331.13	Professional		$74.13	$138.04	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $489.78 / $1,023.29	Facility		$234.42	$489.78	$1,023.29
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $275.42 / $275.42 / $275.42	Facility	22	$275.42	$275.42	$275.42
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $186.21 / $186.21 / $186.21	Facility	52	$186.21	$186.21	$186.21
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $46.77 / $46.77 / $46.77	Facility	53	$46.77	$46.77	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $316.23 / $630.96	Professional		$147.91	$316.23	$630.96
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 $165.96 / $309.03 / $478.63	Professional		$165.96	$309.03	$478.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $102.33 / $467.74	Professional		$32.36	$102.33	$467.74
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 $123.03 / $281.84 / $524.81	Professional		$123.03	$281.84	$524.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $281.84 / $407.38	Professional		$104.71	$281.84	$407.38