Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,203.00 / $4,655.10 / $12,240.00	Facility		$1,203.00	$4,655.10	$12,240.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,710.00 / $5,770.44 / $31,135.50	Facility	50	$2,710.00	$5,770.44	$31,135.50
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $65.73 / $103.71 / $218.17	Facility	52	$65.73	$103.71	$218.17
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $26.29 / $41.48 / $87.27	Facility	53	$26.29	$41.48	$87.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.65 / $384.57 / $697.11	Professional		$139.65	$384.57	$697.11
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $111.60 / $629.57 / $2,253.39	Professional	50	$111.60	$629.57	$2,253.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $222.19 / $1,049.34	Professional		$125.00	$222.19	$1,049.34
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $333.29 / $333.29 / $333.29	Professional	50	$333.29	$333.29	$333.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,649.96 / $12,484.00 / $54,020.00	Facility		$1,649.96	$12,484.00	$54,020.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.88 / $311.23 / $726.34	Professional		$148.88	$311.23	$726.34
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $5,979.00 / $12,759.00 / $23,031.00	Facility		$5,979.00	$12,759.00	$23,031.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $246.60 / $264.22 / $955.47	Professional		$246.60	$264.22	$955.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $266.63 / $394.76 / $538.03	Professional		$266.63	$394.76	$538.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,681.00 / $5,811.00 / $10,192.00	Facility		$1,681.00	$5,811.00	$10,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $366.17 / $540.52 / $912.32	Professional		$366.17	$540.52	$912.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $118.47 / $257.10 / $257.10	Professional		$118.47	$257.10	$257.10