Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $470.05 / $3,363.80 / $8,575.00	Facility		$470.05	$3,363.80	$8,575.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $75.75 / $84.53 / $236.80	Facility	52	$75.75	$84.53	$236.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.97 / $302.70 / $866.03	Professional		$160.97	$302.70	$866.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $142.04 / $204.89 / $335.02	Professional		$142.04	$204.89	$335.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.07 / $861.35 / $2,213.00	Facility		$297.07	$861.35	$2,213.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $237.66 / $237.66 / $237.66	Facility	52	$237.66	$237.66	$237.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.74 / $340.77 / $945.98	Professional		$173.74	$340.77	$945.98
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2,979.00 / $5,611.00 / $11,030.00	Facility		$2,979.00	$5,611.00	$11,030.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $87.53 / $204.22 / $618.91	Professional		$87.53	$204.22	$618.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $301.23 / $591.75 / $840.79	Professional		$301.23	$591.75	$840.79
United Facility/Professional Facility Modifier Low / Median / High Price $659.00 / $3,514.00 / $7,044.00	Facility		$659.00	$3,514.00	$7,044.00
United Facility/Professional Professional Modifier Low / Median / High Price $170.02 / $527.29 / $999.72	Professional		$170.02	$527.29	$999.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $133.79 / $236.86 / $236.86	Professional		$133.79	$236.86	$236.86