Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $516.66 / $3,401.00 / $11,481.00	Facility		$516.66	$3,401.00	$11,481.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $111.19 / $202.81 / $306.76	Facility	52	$111.19	$202.81	$306.76
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $44.48 / $81.13 / $122.70	Facility	53	$44.48	$81.13	$122.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.63 / $494.72 / $907.12	Professional		$249.63	$494.72	$907.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $228.59 / $252.55 / $376.79	Professional		$228.59	$252.55	$376.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $432.00 / $630.91 / $2,213.00	Facility		$432.00	$630.91	$2,213.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $347.70 / $347.70 / $347.70	Facility	52	$347.70	$347.70	$347.70
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $86.93 / $86.93 / $86.93	Facility	53	$86.93	$86.93	$86.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $261.13 / $525.88 / $1,096.01	Professional		$261.13	$525.88	$1,096.01
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 $266.91 / $524.51 / $725.84	Professional		$266.91	$524.51	$725.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $468.06 / $714.68 / $1,043.22	Professional		$468.06	$714.68	$1,043.22
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 $499.01 / $700.86 / $1,261.55	Professional		$499.01	$700.86	$1,261.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $195.32 / $494.82 / $494.82	Professional		$195.32	$494.82	$494.82