Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $374.55 / $3,379.00 / $11,550.00	Facility		$374.55	$3,379.00	$11,550.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $50.20 / $69.72 / $232.35	Facility	52	$50.20	$69.72	$232.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.31 / $196.71 / $688.97	Professional		$112.31	$196.71	$688.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $136.91 / $136.91 / $161.15	Professional		$136.91	$136.91	$161.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.32 / $630.91 / $1,652.00	Facility		$197.32	$630.91	$1,652.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $157.86 / $157.86 / $157.86	Facility	52	$157.86	$157.86	$157.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.61 / $243.70 / $817.45	Professional		$118.61	$243.70	$817.45
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2,239.00 / $3,979.00 / $7,509.00	Facility		$2,239.00	$3,979.00	$7,509.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $75.72 / $169.32 / $506.74	Professional		$75.72	$169.32	$506.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $227.08 / $489.99 / $694.99	Professional		$227.08	$489.99	$694.99
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 $143.04 / $458.28 / $936.39	Professional		$143.04	$458.28	$936.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $89.11 / $206.44 / $206.44	Professional		$89.11	$206.44	$206.44