Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.36 / $4,729.00 / $10,680.87	Facility		$660.36	$4,729.00	$10,680.87
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $141.59 / $151.82 / $236.25	Facility	52	$141.59	$151.82	$236.25
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $56.64 / $60.73 / $94.50	Facility	53	$56.64	$60.73	$94.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.63 / $424.51 / $661.24	Professional		$303.63	$424.51	$661.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $310.05 / $392.60 / $559.49	Professional		$310.05	$392.60	$559.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $373.67 / $1,393.45 / $3,125.00	Facility		$373.67	$1,393.45	$3,125.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $291.99 / $291.99 / $291.99	Facility	52	$291.99	$291.99	$291.99
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $73.00 / $73.00 / $73.00	Facility	53	$73.00	$73.00	$73.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.24 / $435.28 / $674.05	Professional		$266.24	$435.28	$674.05
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $3,420.00 / $6,499.00 / $11,885.00	Facility		$3,420.00	$6,499.00	$11,885.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $229.32 / $389.84 / $584.77	Professional		$229.32	$389.84	$584.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $275.24 / $375.71 / $555.33	Professional		$275.24	$375.71	$555.33
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 $273.76 / $381.36 / $651.15	Professional		$273.76	$381.36	$651.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $250.22 / $250.22 / $250.22	Professional		$250.22	$250.22	$250.22