Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $829.11 / $2,700.43 / $7,667.85	Facility		$829.11	$2,700.43	$7,667.85
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $65.58 / $74.34 / $426.97	Facility	52	$65.58	$74.34	$426.97
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $26.23 / $29.74 / $170.79	Facility	53	$26.23	$29.74	$170.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.13 / $367.81 / $1,524.43	Professional		$147.13	$367.81	$1,524.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $108.89 / $155.55 / $857.77	Professional		$108.89	$155.55	$857.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.77 / $861.35 / $2,213.00	Facility		$257.77	$861.35	$2,213.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $206.22 / $206.22 / $206.22	Facility	52	$206.22	$206.22	$206.22
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $51.55 / $51.55 / $51.55	Facility	53	$51.55	$51.55	$51.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.06 / $296.35 / $1,678.17	Professional		$154.06	$296.35	$1,678.17
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 $80.47 / $183.00 / $1,084.00	Professional		$80.47	$183.00	$1,084.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $279.02 / $1,078.55 / $1,540.79	Professional		$279.02	$1,078.55	$1,540.79
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 $155.13 / $952.49 / $1,856.75	Professional		$155.13	$952.49	$1,856.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $116.17 / $218.68 / $218.68	Professional		$116.17	$218.68	$218.68