Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $333.08 / $2,460.12 / $8,857.86	Facility		$333.08	$2,460.12	$8,857.86
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $86.29 / $156.75 / $181.42	Facility	52	$86.29	$156.75	$181.42
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $34.51 / $60.06 / $72.56	Facility	53	$34.51	$60.06	$72.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.84 / $350.55 / $648.51	Professional		$192.84	$350.55	$648.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.24 / $109.84 / $204.37	Professional		$89.24	$109.84	$204.37
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 $204.87 / $389.64 / $713.59	Professional		$204.87	$389.64	$713.59
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 $197.74 / $395.48 / $497.04	Professional		$197.74	$395.48	$497.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $293.94 / $456.50 / $647.18	Professional		$293.94	$456.50	$647.18
United Facility/Professional Facility Modifier Low / Median / High Price $659.00 / $3,501.00 / $6,422.00	Facility		$659.00	$3,501.00	$6,422.00
United Facility/Professional Professional Modifier Low / Median / High Price $330.74 / $456.02 / $796.87	Professional		$330.74	$456.02	$796.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $152.16 / $333.71 / $333.71	Professional		$152.16	$333.71	$333.71