Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.18 / $3,279.00 / $11,576.00	Facility		$60.18	$3,279.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.78 / $63.94 / $115.43	Professional		$40.78	$63.94	$115.43
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $20.07 / $30.68 / $38.72	Professional	52	$20.07	$30.68	$38.72
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $8.02 / $12.27 / $15.49	Professional	53	$8.02	$12.27	$15.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.59 / $65.59 / $65.59	Professional		$65.59	$65.59	$65.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.83 / $38.36 / $45.67	Facility		$37.83	$38.36	$45.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.55 / $75.75 / $133.78	Professional		$45.55	$75.75	$133.78
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,438.00 / $2,394.00 / $4,243.00	Facility		$1,438.00	$2,394.00	$4,243.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $50.46 / $54.07 / $95.10	Professional		$50.46	$54.07	$95.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.20 / $72.48 / $100.77	Professional		$50.20	$72.48	$100.77
United Facility/Professional Facility Modifier Low / Median / High Price $345.00 / $1,911.00 / $4,970.00	Facility		$345.00	$1,911.00	$4,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $58.83 / $84.24 / $145.80	Professional		$58.83	$84.24	$145.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $35.22 / $56.94 / $56.94	Professional		$35.22	$56.94	$56.94