Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.49 / $1,223.92 / $8,159.00	Facility		$186.49	$1,223.92	$8,159.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $16.18 / $86.61 / $93.25	Facility	52	$16.18	$86.61	$93.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.26 / $175.52 / $333.28	Professional		$34.26	$175.52	$333.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.48 / $62.40 / $130.68	Professional		$46.48	$62.40	$130.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.27 / $145.71 / $1,652.00	Facility		$64.27	$145.71	$1,652.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $51.42 / $51.42 / $51.42	Facility	52	$51.42	$51.42	$51.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.32 / $177.55 / $371.48	Professional		$38.32	$177.55	$371.48
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,316.00 / $2,347.00 / $4,243.00	Facility		$1,316.00	$2,347.00	$4,243.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $97.83 / $203.41 / $250.28	Professional		$97.83	$203.41	$250.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $124.32 / $249.55 / $365.32	Professional		$124.32	$249.55	$365.32
United Facility/Professional Facility Modifier Low / Median / High Price $205.00 / $1,485.00 / $4,456.00	Facility		$205.00	$1,485.00	$4,456.00
United Facility/Professional Professional Modifier Low / Median / High Price $171.98 / $240.77 / $427.49	Professional		$171.98	$240.77	$427.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.60 / $167.75 / $167.75	Professional		$28.60	$167.75	$167.75