Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $782.20 / $3,234.06 / $7,410.92	Facility		$782.20	$3,234.06	$7,410.92
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $79.58 / $136.69 / $911.63	Facility	52	$79.58	$136.69	$911.63
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $35.58 / $89.90 / $2,238.50	Facility	53	$35.58	$89.90	$2,238.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.28 / $326.77 / $798.67	Professional		$180.28	$326.77	$798.67
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $37.84 / $91.20 / $206.79	Professional	53	$37.84	$91.20	$206.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $164.06 / $216.34 / $322.27	Professional		$164.06	$216.34	$322.27
Ambetter Facility/Professional Professional Modifier 53 Low / Median / High Price $47.34 / $85.88 / $154.03	Professional	53	$47.34	$85.88	$154.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.83 / $487.89 / $2,213.00	Facility		$310.83	$487.89	$2,213.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $248.66 / $248.66 / $248.66	Facility	52	$248.66	$248.66	$248.66
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $62.17 / $62.17 / $460.09	Facility	53	$62.17	$62.17	$460.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.37 / $328.63 / $597.28	Professional		$190.37	$328.63	$597.28
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $81.36 / $173.64 / $320.00	Professional	53	$81.36	$173.64	$320.00
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 $170.51 / $341.01 / $414.08	Professional		$170.51	$341.01	$414.08
Florida Blue Facility/Professional Professional Modifier 53 Low / Median / High Price $57.29 / $112.75 / $190.50	Professional	53	$57.29	$112.75	$190.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.17 / $237.55 / $404.21	Professional		$144.17	$237.55	$404.21
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 $267.70 / $392.80 / $661.35	Professional		$267.70	$392.80	$661.35
United Facility/Professional Professional Modifier 53 Low / Median / High Price $81.16 / $165.30 / $422.53	Professional	53	$81.16	$165.30	$422.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $192.49 / $321.67 / $354.16	Professional		$192.49	$321.67	$354.16
Wellpoint Facility/Professional Professional Modifier 53 Low / Median / High Price $139.91 / $169.27 / $258.64	Professional	53	$139.91	$169.27	$258.64