Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $3,311.31 / $8,511.38	Facility		$707.95	$3,311.31	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $602.56 / $1,258.93	Professional		$257.04	$602.56	$1,258.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $380.19 / $457.09	Professional		$218.78	$380.19	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $630.96 / $2,137.96	Facility		$436.52	$630.96	$2,137.96
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $524.81 / $524.81 / $524.81	Facility	22	$524.81	$524.81	$524.81
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $346.74 / $346.74 / $346.74	Facility	52	$346.74	$346.74	$346.74
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $87.10 / $87.10 / $87.10	Facility	53	$87.10	$87.10	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $537.03 / $1,122.02	Professional		$269.15	$537.03	$1,122.02
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 $302.00 / $549.54 / $831.76	Professional		$302.00	$549.54	$831.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $190.55 / $812.83	Professional		$32.36	$190.55	$812.83
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 $239.88 / $501.19 / $977.24	Professional		$239.88	$501.19	$977.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $489.78 / $707.95	Professional		$194.98	$489.78	$707.95