Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $530.67 / $3,308.89 / $11,024.00	Facility		$530.67	$3,308.89	$11,024.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $85.52 / $120.54 / $281.93	Facility	52	$85.52	$120.54	$281.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.11 / $344.24 / $945.71	Professional		$192.11	$344.24	$945.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $159.19 / $247.21 / $337.96	Professional		$159.19	$247.21	$337.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $336.48 / $861.35 / $2,213.00	Facility		$336.48	$861.35	$2,213.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $269.18 / $269.18 / $269.18	Facility	52	$269.18	$269.18	$269.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.14 / $413.66 / $1,018.60	Professional		$204.14	$413.66	$1,018.60
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 $131.24 / $282.80 / $650.82	Professional		$131.24	$282.80	$650.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $377.44 / $630.85 / $888.98	Professional		$377.44	$630.85	$888.98
United Facility/Professional Facility Modifier Low / Median / High Price $659.00 / $3,514.00 / $6,422.00	Facility		$659.00	$3,514.00	$6,422.00
United Facility/Professional Professional Modifier Low / Median / High Price $252.56 / $586.09 / $1,126.81	Professional		$252.56	$586.09	$1,126.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $151.41 / $354.62 / $354.62	Professional		$151.41	$354.62	$354.62