Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $1,148.15 / $6,760.83	Facility		$251.19	$1,148.15	$6,760.83
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $954.99 / $954.99 / $954.99	Facility	52	$954.99	$954.99	$954.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $177.83 / $478.63	Professional		$35.48	$177.83	$478.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $60.26 / $257.04	Professional		$32.36	$60.26	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $128.82 / $457.09	Facility		$64.57	$128.82	$457.09
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $51.29 / $51.29 / $51.29	Facility	52	$51.29	$51.29	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $190.55 / $398.11	Professional		$39.81	$190.55	$398.11
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,454.71 / $4,365.16	Facility		$1,479.11	$2,454.71	$4,365.16
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $208.93 / $309.03	Professional		$109.65	$208.93	$309.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $36.31 / $288.40	Professional		$29.51	$36.31	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,445.44 / $3,890.45	Facility		$199.53	$1,445.44	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $147.91 / $323.59	Professional		$33.11	$147.91	$323.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $165.96 / $263.03	Professional		$28.84	$165.96	$263.03