Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $3,311.31 / $10,964.78	Facility		$707.95	$3,311.31	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $741.31 / $1,778.28	Professional		$194.98	$741.31	$1,778.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $288.40 / $426.58	Professional		$158.49	$288.40	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $851.14 / $2,818.38	Facility		$302.00	$851.14	$2,818.38
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $275.42 / $275.42 / $275.42	Facility	52	$275.42	$275.42	$275.42
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $69.18 / $69.18 / $69.18	Facility	53	$69.18	$69.18	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $501.19 / $1,621.81	Professional		$213.80	$501.19	$1,621.81
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $5,754.40 / $11,481.54	Facility		$3,090.30	$5,754.40	$11,481.54
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $870.96 / $1,174.90	Professional		$512.86	$870.96	$1,174.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $147.91 / $977.24	Professional		$32.36	$147.91	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $3,311.31 / $6,606.93	Facility		$707.95	$3,311.31	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $630.96 / $1,380.38	Professional		$181.97	$630.96	$1,380.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $616.60 / $758.58	Professional		$154.88	$616.60	$758.58