Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.26 / $3,726.57 / $11,576.00	Facility		$630.26	$3,726.57	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.59 / $763.07 / $1,209.90	Professional		$193.59	$763.07	$1,209.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $179.75 / $296.30 / $428.30	Professional		$179.75	$296.30	$428.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $861.35 / $1,652.00	Facility		$323.00	$861.35	$1,652.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $274.70 / $274.70 / $274.70	Facility	52	$274.70	$274.70	$274.70
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $68.68 / $68.68 / $68.68	Facility	53	$68.68	$68.68	$68.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.62 / $488.00 / $1,507.51	Professional		$204.62	$488.00	$1,507.51
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2,979.00 / $5,611.00 / $11,030.00	Facility		$2,979.00	$5,611.00	$11,030.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $454.83 / $866.34 / $1,115.39	Professional		$454.83	$866.34	$1,115.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.84 / $699.93 / $1,065.68	Professional		$67.84	$699.93	$1,065.68
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 $723.60 / $1,060.09 / $1,827.36	Professional		$723.60	$1,060.09	$1,827.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $153.44 / $610.23 / $610.23	Professional		$153.44	$610.23	$610.23