Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $356.85 / $2,948.00 / $8,974.46	Facility		$356.85	$2,948.00	$8,974.46
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $34.63 / $66.90 / $87.72	Facility	52	$34.63	$66.90	$87.72
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $13.85 / $26.76 / $35.09	Facility	53	$13.85	$26.76	$35.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.58 / $173.62 / $414.50	Professional		$81.58	$173.62	$414.50
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $36.85 / $66.90 / $133.19	Professional	52	$36.85	$66.90	$133.19
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $14.74 / $26.76 / $48.52	Professional	53	$14.74	$26.76	$48.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $248.77 / $248.77 / $276.29	Professional		$248.77	$248.77	$276.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.55 / $315.54 / $374.89	Facility		$310.55	$315.54	$374.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.58 / $200.66 / $370.27	Professional		$81.58	$200.66	$370.27
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2,104.00 / $3,121.00 / $6,861.00	Facility		$2,104.00	$3,121.00	$6,861.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $144.49 / $154.81 / $272.30	Professional		$144.49	$154.81	$272.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $169.75 / $253.87 / $341.87	Professional		$169.75	$253.87	$341.87
United Facility/Professional Facility Modifier Low / Median / High Price $591.00 / $2,671.00 / $4,971.00	Facility		$591.00	$2,671.00	$4,971.00
United Facility/Professional Professional Modifier Low / Median / High Price $169.10 / $244.08 / $415.92	Professional		$169.10	$244.08	$415.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.02 / $168.26 / $168.26	Professional		$61.02	$168.26	$168.26