Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,277.16 / $9,885.56 / $22,227.74	Facility		$3,277.16	$9,885.56	$22,227.74
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $10,371.67 / $10,371.67 / $10,478.40	Facility	22	$10,371.67	$10,371.67	$10,478.40
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $282.58 / $300.24 / $320.58	Facility	52	$282.58	$300.24	$320.58
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $113.03 / $120.09 / $128.22	Facility	53	$113.03	$120.09	$128.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $611.12 / $757.96 / $2,058.00	Professional		$611.12	$757.96	$2,058.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $614.17 / $782.00 / $1,276.91	Professional		$614.17	$782.00	$1,276.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,811.57 / $11,637.00 / $26,555.00	Facility		$2,811.57	$11,637.00	$26,555.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $594.13 / $594.13 / $594.13	Facility	52	$594.13	$594.13	$594.13
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $148.53 / $148.53 / $148.53	Facility	53	$148.53	$148.53	$148.53
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $74.27 / $74.27 / $74.27	Facility	AS	$74.27	$74.27	$74.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $565.59 / $892.15 / $1,377.77	Professional		$565.59	$892.15	$1,377.77
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $4,743.00 / $12,190.00 / $22,833.00	Facility		$4,743.00	$12,190.00	$22,833.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $336.98 / $674.92 / $821.27	Professional		$336.98	$674.92	$821.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.87 / $604.01 / $928.25	Professional		$68.87	$604.01	$928.25
United Facility/Professional Facility Modifier Low / Median / High Price $3,595.00 / $12,291.00 / $18,694.00	Facility		$3,595.00	$12,291.00	$18,694.00
United Facility/Professional Professional Modifier Low / Median / High Price $537.32 / $740.12 / $1,367.37	Professional		$537.32	$740.12	$1,367.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $512.17 / $512.17 / $512.17	Professional		$512.17	$512.17	$512.17