Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.09 / $1,500.00 / $10,632.00	Facility		$63.09	$1,500.00	$10,632.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.96 / $64.76 / $127.49	Professional		$29.96	$64.76	$127.49
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $13.63 / $29.69 / $41.94	Professional	52	$13.63	$29.69	$41.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.10 / $105.10 / $105.10	Professional		$105.10	$105.10	$105.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.87 / $51.58 / $61.41	Facility		$50.87	$51.58	$61.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.36 / $71.47 / $136.47	Professional		$31.36	$71.47	$136.47
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,438.00 / $2,394.00 / $4,243.00	Facility		$1,438.00	$2,394.00	$4,243.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $49.97 / $53.53 / $142.83	Professional		$49.97	$53.53	$142.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.02 / $108.80 / $145.70	Professional		$73.02	$108.80	$145.70
United Facility/Professional Facility Modifier Low / Median / High Price $345.00 / $1,911.00 / $4,970.00	Facility		$345.00	$1,911.00	$4,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $62.07 / $94.70 / $158.30	Professional		$62.07	$94.70	$158.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.72 / $57.96 / $57.96	Professional		$22.72	$57.96	$57.96