Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $2,570.40 / $8,128.31	Facility		$549.54	$2,570.40	$8,128.31
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Facility	52	$2,041.74	$2,041.74	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $354.81 / $812.83	Professional		$169.82	$354.81	$812.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $208.93 / $316.23	Professional		$123.03	$208.93	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $501.19 / $1,047.13	Facility		$295.12	$501.19	$1,047.13
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $354.81 / $354.81 / $354.81	Facility	22	$354.81	$354.81	$354.81
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $239.88 / $239.88 / $239.88	Facility	52	$239.88	$239.88	$239.88
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $58.88 / $58.88 / $58.88	Facility	53	$58.88	$58.88	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $323.59 / $676.08	Professional		$181.97	$323.59	$676.08
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 $104.71 / $239.88 / $478.63	Professional		$104.71	$239.88	$478.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $128.82 / $416.87	Professional		$32.36	$128.82	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $3,311.31 / $6,606.93	Facility		$707.95	$3,311.31	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $263.03 / $537.03	Professional		$151.36	$263.03	$537.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $251.19 / $416.87	Professional		$134.90	$251.19	$416.87