Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $1,445.44 / $7,762.47	Facility		$316.23	$1,445.44	$7,762.47
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $794.33 / $794.33 / $794.33	Facility	52	$794.33	$794.33	$794.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $407.38 / $870.96	Professional		$190.55	$407.38	$870.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $144.54 / $234.42	Professional		$87.10	$144.54	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $630.96 / $1,148.15	Facility		$338.84	$630.96	$1,148.15
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $407.38 / $407.38 / $407.38	Facility	22	$407.38	$407.38	$407.38
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $269.15 / $269.15 / $269.15	Facility	52	$269.15	$269.15	$269.15
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $67.61 / $67.61 / $67.61	Facility	53	$67.61	$67.61	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $398.11 / $741.31	Professional		$208.93	$398.11	$741.31
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $4,073.80 / $7,585.78	Facility		$2,398.83	$4,073.80	$7,585.78
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $389.05 / $562.34	Professional		$218.78	$389.05	$562.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $147.91 / $549.54	Professional		$32.36	$147.91	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $3,311.31 / $6,606.93	Facility		$707.95	$3,311.31	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $346.74 / $630.96	Professional		$181.97	$346.74	$630.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $331.13 / $478.63	Professional		$151.36	$331.13	$478.63