Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $817.00 / $3,853.01 / $8,620.52	Facility		$817.00	$3,853.01	$8,620.52
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $109.27 / $181.76 / $2,612.50	Facility	52	$109.27	$181.76	$2,612.50
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $43.71 / $69.20 / $84.60	Facility	53	$43.71	$69.20	$84.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.18 / $439.84 / $936.00	Professional		$249.18	$439.84	$936.00
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $48.74 / $73.53 / $115.76	Professional	53	$48.74	$73.53	$115.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $215.37 / $268.64 / $352.63	Professional		$215.37	$268.64	$352.63
Ambetter Facility/Professional Professional Modifier 53 Low / Median / High Price $340.65 / $340.65 / $340.65	Professional	53	$340.65	$340.65	$340.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.66 / $630.91 / $2,213.00	Facility		$426.66	$630.91	$2,213.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $341.33 / $341.33 / $341.33	Facility	52	$341.33	$341.33	$341.33
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $85.33 / $85.33 / $85.33	Facility	53	$85.33	$85.33	$85.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.95 / $451.07 / $804.35	Professional		$258.95	$451.07	$804.35
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 $230.50 / $460.99 / $553.07	Professional		$230.50	$460.99	$553.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $334.06 / $508.35 / $720.47	Professional		$334.06	$508.35	$720.47
United Facility/Professional Facility Modifier Low / Median / High Price $659.00 / $3,514.00 / $6,422.00	Facility		$659.00	$3,514.00	$6,422.00
United Facility/Professional Professional Modifier Low / Median / High Price $365.74 / $494.90 / $897.89	Professional		$365.74	$494.90	$897.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $191.75 / $343.67 / $343.67	Professional		$191.75	$343.67	$343.67