Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $259.91 / $1,435.64 / $7,433.00	Facility		$259.91	$1,435.64	$7,433.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $18.48 / $29.36 / $81.43	Facility	52	$18.48	$29.36	$81.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.36 / $146.47 / $285.48	Professional		$40.36	$146.47	$285.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.29 / $62.99 / $425.59	Professional		$37.29	$62.99	$425.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.00 / $73.43 / $461.32	Facility		$41.00	$73.43	$461.32
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $58.74 / $58.74 / $58.74	Facility	52	$58.74	$58.74	$58.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.20 / $127.20 / $323.52	Professional		$44.20	$127.20	$323.52
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $94.22 / $183.08 / $211.36	Facility		$94.22	$183.08	$211.36
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $132.41 / $226.12 / $378.23	Professional		$132.41	$226.12	$378.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $203.44 / $340.68	Professional		$125.00	$203.44	$340.68
United Facility/Professional Facility Modifier Low / Median / High Price $351.00 / $1,861.00 / $4,970.00	Facility		$351.00	$1,861.00	$4,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $152.94 / $227.27 / $420.73	Professional		$152.94	$227.27	$420.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.68 / $156.26 / $156.26	Professional		$32.68	$156.26	$156.26