Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $3,311.31 / $8,709.64	Facility		$691.83	$3,311.31	$8,709.64
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,623.41 / $5,623.41 / $5,623.41	Facility	50	$5,623.41	$5,623.41	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $616.60 / $1,659.59	Professional		$194.98	$616.60	$1,659.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $218.78 / $323.59	Professional		$162.18	$218.78	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $933.25 / $977.24	Facility		$34.67	$933.25	$977.24
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 $204.17 / $645.65 / $1,548.82	Professional		$204.17	$645.65	$1,548.82
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $5,888.44 / $11,481.54	Facility		$3,162.28	$5,888.44	$11,481.54
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $616.60 / $870.96	Professional		$588.84	$616.60	$870.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,000.00	Professional		$32.36	$33.11	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,623.41 / $9,772.37	Facility		$1,698.24	$5,623.41	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $630.96 / $1,380.38	Professional		$199.53	$630.96	$1,380.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $660.69 / $831.76	Professional		$154.88	$660.69	$831.76