Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $904.00 / $4,161.38 / $11,576.00	Facility		$904.00	$4,161.38	$11,576.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,780.00 / $4,673.89 / $7,080.00	Facility	50	$2,780.00	$4,673.89	$7,080.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $126.06 / $136.38 / $141.08	Facility	52	$126.06	$136.38	$141.08
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $50.42 / $54.55 / $56.43	Facility	53	$50.42	$54.55	$56.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.75 / $318.89 / $590.23	Professional		$272.75	$318.89	$590.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $431.65 / $431.65 / $1,049.34	Professional		$431.65	$431.65	$1,049.34
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 $253.85 / $405.53 / $640.05	Professional		$253.85	$405.53	$640.05
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 $207.63 / $222.46 / $391.29	Professional		$207.63	$222.46	$391.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $277.84 / $382.09 / $509.55	Professional		$277.84	$382.09	$509.55
United Facility/Professional Facility Modifier Low / Median / High Price $1,681.00 / $5,811.00 / $10,057.00	Facility		$1,681.00	$5,811.00	$10,057.00
United Facility/Professional Professional Modifier Low / Median / High Price $251.47 / $376.38 / $635.92	Professional		$251.47	$376.38	$635.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $229.54 / $229.54 / $229.54	Professional		$229.54	$229.54	$229.54