Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.92 / $422.37 / $6,950.00	Facility		$67.92	$422.37	$6,950.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $10.70 / $19.60 / $31.27	Facility	52	$10.70	$19.60	$31.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.93 / $54.79 / $114.06	Professional		$23.93	$54.79	$114.06
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.67 / $25.79 / $34.28	Professional	52	$11.67	$25.79	$34.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.26 / $39.86 / $72.95	Professional		$32.26	$39.86	$72.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.39 / $57.57 / $117.13	Professional		$25.39	$57.57	$117.13
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,146.00 / $1,732.00 / $2,887.00	Facility		$1,146.00	$1,732.00	$2,887.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $43.55 / $96.09	Professional		$40.65	$43.55	$96.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.47 / $72.45 / $97.86	Professional		$49.47	$72.45	$97.86
United Facility/Professional Facility Modifier Low / Median / High Price $345.00 / $1,861.00 / $4,970.00	Facility		$345.00	$1,861.00	$4,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $53.17 / $80.56 / $133.44	Professional		$53.17	$80.56	$133.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.89 / $47.24 / $47.24	Professional		$18.89	$47.24	$47.24