Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $566.88 / $3,279.00 / $11,550.00	Facility		$566.88	$3,279.00	$11,550.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $96.23 / $110.22 / $299.19	Facility	52	$96.23	$110.22	$299.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.97 / $533.53 / $979.65	Professional		$214.97	$533.53	$979.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.62 / $244.72 / $381.15	Professional		$120.62	$244.72	$381.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $377.53 / $1,143.53 / $3,559.00	Facility		$377.53	$1,143.53	$3,559.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $302.02 / $302.02 / $302.02	Facility	52	$302.02	$302.02	$302.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.40 / $496.58 / $1,167.91	Professional		$225.40	$496.58	$1,167.91
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2,979.00 / $5,655.00 / $11,030.00	Facility		$2,979.00	$5,655.00	$11,030.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $326.72 / $661.21 / $827.11	Professional		$326.72	$661.21	$827.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $485.78 / $783.80 / $1,150.64	Professional		$485.78	$783.80	$1,150.64
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 $540.45 / $758.08 / $1,373.37	Professional		$540.45	$758.08	$1,373.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $169.79 / $539.76 / $539.76	Professional		$169.79	$539.76	$539.76