Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $811.58 / $2,999.31 / $7,875.00	Facility		$811.58	$2,999.31	$7,875.00
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,293.41 / $1,293.41 / $1,293.41	Facility	22	$1,293.41	$1,293.41	$1,293.41
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $59.12 / $135.68 / $154.35	Facility	52	$59.12	$135.68	$154.35
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $23.65 / $42.00 / $60.77	Facility	53	$23.65	$42.00	$60.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.71 / $308.69 / $755.68	Professional		$132.71	$308.69	$755.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.29 / $140.96 / $314.19	Professional		$70.29	$140.96	$314.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $232.12 / $501.76 / $2,213.00	Facility		$232.12	$501.76	$2,213.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $185.70 / $185.70 / $185.70	Facility	52	$185.70	$185.70	$185.70
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $46.42 / $46.42 / $46.42	Facility	53	$46.42	$46.42	$46.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.68 / $296.67 / $608.54	Professional		$144.68	$296.67	$608.54
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 $147.32 / $289.54 / $412.28	Professional		$147.32	$289.54	$412.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $226.06 / $351.82 / $518.91	Professional		$226.06	$351.82	$518.91
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 $271.18 / $388.76 / $648.97	Professional		$271.18	$388.76	$648.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $104.68 / $281.88 / $281.88	Professional		$104.68	$281.88	$281.88