Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $893.46 / $4,143.60 / $8,781.69	Facility		$893.46	$4,143.60	$8,781.69
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,842.40 / $2,842.40 / $5,866.00	Facility	22	$2,842.40	$2,842.40	$5,866.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $91.68 / $183.33 / $2,366.92	Facility	52	$91.68	$183.33	$2,366.92
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $34.51 / $63.76 / $74.72	Facility	53	$34.51	$63.76	$74.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.69 / $405.06 / $850.91	Professional		$195.69	$405.06	$850.91
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $96.12 / $173.83 / $274.62	Professional	52	$96.12	$173.83	$274.62
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $38.45 / $69.53 / $106.84	Professional	53	$38.45	$69.53	$106.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $178.49 / $219.68 / $343.29	Professional		$178.49	$219.68	$343.29
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $33.10 / $44.62 / $70.22	Professional	52	$33.10	$44.62	$70.22
Ambetter Facility/Professional Professional Modifier 53 Low / Median / High Price $102.19 / $132.38 / $300.00	Professional	53	$102.19	$132.38	$300.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.16 / $630.91 / $2,213.00	Facility		$338.16	$630.91	$2,213.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $270.52 / $270.52 / $270.52	Facility	52	$270.52	$270.52	$270.52
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $67.63 / $67.63 / $67.63	Facility	53	$67.63	$67.63	$67.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.97 / $394.16 / $716.90	Professional		$210.97	$394.16	$716.90
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2,241.00 / $4,006.00 / $7,509.00	Facility		$2,241.00	$4,006.00	$7,509.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $203.45 / $404.72 / $488.21	Professional		$203.45	$404.72	$488.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $293.94 / $456.91 / $647.18	Professional		$293.94	$456.91	$647.18
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 $335.82 / $463.50 / $809.54	Professional		$335.82	$463.50	$809.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $152.16 / $327.33 / $327.33	Professional		$152.16	$327.33	$327.33