Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $2,884.03 / $8,912.51	Facility		$354.81	$2,884.03	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $218.78 / $512.86	Professional		$77.62	$218.78	$512.86
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $45.71 / $147.91 / $467.74	Professional	52	$45.71	$147.91	$467.74
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $21.38 / $38.90 / $186.21	Professional	53	$21.38	$38.90	$186.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $194.98 / $302.00	Professional		$67.61	$194.98	$302.00
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $51.29 / $51.29 / $70.79	Professional	52	$51.29	$51.29	$70.79
Ambetter Facility/Professional Professional Modifier 53 Low / Median / High Price $117.49 / $117.49 / $117.49	Professional	53	$117.49	$117.49	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $316.23 / $1,318.26	Facility		$134.90	$316.23	$1,318.26
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $162.18 / $162.18 / $162.18	Facility	22	$162.18	$162.18	$162.18
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $109.65 / $109.65 / $109.65	Facility	52	$109.65	$109.65	$109.65
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $27.54 / $27.54 / $27.54	Facility	53	$27.54	$27.54	$27.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $213.80 / $416.87	Professional		$89.13	$213.80	$416.87
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,235.94 / $6,606.93	Facility		$2,238.72	$3,235.94	$6,606.93
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $154.88 / $213.80	Professional		$147.91	$154.88	$213.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $251.19	Professional		$32.36	$33.11	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,570.40 / $5,011.87	Facility		$537.03	$2,570.40	$5,011.87
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $177.83 / $354.81	Professional		$85.11	$177.83	$354.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $169.82 / $213.80	Professional		$61.66	$169.82	$213.80