Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $771.11 / $3,246.32 / $8,944.42	Facility		$771.11	$3,246.32	$8,944.42
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $75.63 / $85.69 / $157.22	Facility	52	$75.63	$85.69	$157.22
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $30.25 / $34.27 / $62.89	Facility	53	$30.25	$34.27	$62.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.61 / $283.07 / $575.50	Professional		$169.61	$283.07	$575.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.91 / $192.50 / $281.73	Professional		$128.91	$192.50	$281.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $296.61 / $501.76 / $2,213.00	Facility		$296.61	$501.76	$2,213.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $237.29 / $237.29 / $237.29	Facility	52	$237.29	$237.29	$237.29
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $59.32 / $59.32 / $59.32	Facility	53	$59.32	$59.32	$59.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.52 / $315.00 / $629.85	Professional		$177.52	$315.00	$629.85
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,894.00 / $3,083.00 / $6,645.00	Facility		$1,894.00	$3,083.00	$6,645.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $93.18 / $212.41 / $410.95	Professional		$93.18	$212.41	$410.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $248.70 / $383.53 / $555.08	Professional		$248.70	$383.53	$555.08
United Facility/Professional Facility Modifier Low / Median / High Price $573.00 / $3,514.00 / $7,044.00	Facility		$573.00	$3,514.00	$7,044.00
United Facility/Professional Professional Modifier Low / Median / High Price $179.33 / $346.98 / $699.20	Professional		$179.33	$346.98	$699.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $133.53 / $252.47 / $252.47	Professional		$133.53	$252.47	$252.47