Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $668.00 / $2,522.96 / $8,269.00	Facility		$668.00	$2,522.96	$8,269.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $45.35 / $117.59 / $2,719.50	Facility	52	$45.35	$117.59	$2,719.50
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $18.14 / $20.17 / $51.89	Facility	53	$18.14	$20.17	$51.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.14 / $235.17 / $443.85	Professional		$96.14	$235.17	$443.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.72 / $154.61 / $216.45	Professional		$79.72	$154.61	$216.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $179.49 / $502.77 / $1,652.00	Facility		$179.49	$502.77	$1,652.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $143.59 / $143.59 / $143.59	Facility	52	$143.59	$143.59	$143.59
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $35.90 / $35.90 / $35.90	Facility	53	$35.90	$35.90	$35.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.74 / $228.69 / $487.34	Professional		$106.74	$228.69	$487.34
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,894.00 / $3,091.00 / $6,853.00	Facility		$1,894.00	$3,091.00	$6,853.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $137.27 / $278.30 / $349.70	Professional		$137.27	$278.30	$349.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $180.86 / $280.51 / $405.91	Professional		$180.86	$280.51	$405.91
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 $230.37 / $324.38 / $548.27	Professional		$230.37	$324.38	$548.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $80.43 / $218.81 / $218.81	Professional		$80.43	$218.81	$218.81