Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $271.43 / $2,903.78 / $9,437.00	Facility		$271.43	$2,903.78	$9,437.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $23.77 / $52.80 / $74.89	Facility	52	$23.77	$52.80	$74.89
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $9.51 / $14.98 / $29.96	Facility	53	$9.51	$14.98	$29.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.23 / $130.93 / $294.33	Professional		$53.23	$130.93	$294.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.53 / $67.01 / $108.23	Professional		$36.53	$67.01	$108.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.68 / $165.87 / $1,652.00	Facility		$95.68	$165.87	$1,652.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $76.54 / $76.54 / $76.54	Facility	52	$76.54	$76.54	$76.54
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $19.14 / $19.14 / $19.14	Facility	53	$19.14	$19.14	$19.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.55 / $141.34 / $284.92	Professional		$57.55	$141.34	$284.92
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,902.00 / $3,099.00 / $6,645.00	Facility		$1,902.00	$3,099.00	$6,645.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $57.29 / $114.58 / $204.86	Professional		$57.29	$114.58	$204.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $125.15 / $210.08 / $300.08	Professional		$125.15	$210.08	$300.08
United Facility/Professional Facility Modifier Low / Median / High Price $438.78 / $2,491.00 / $5,015.00	Facility		$438.78	$2,491.00	$5,015.00
United Facility/Professional Professional Modifier Low / Median / High Price $110.59 / $164.71 / $306.68	Professional		$110.59	$164.71	$306.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $43.66 / $142.22 / $142.22	Professional		$43.66	$142.22	$142.22