Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $3,388.44 / $10,715.19	Facility		$162.18	$3,388.44	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $79.43 / $169.82	Professional		$41.69	$79.43	$169.82
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $21.88 / $21.88 / $21.88	Professional	52	$21.88	$21.88	$21.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $72.44 / $104.71	Professional		$66.07	$72.44	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $38.02 / $79.43	Facility		$34.67	$38.02	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $79.43 / $151.36	Professional		$47.86	$79.43	$151.36
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,454.71 / $4,168.69	Facility		$1,513.56	$2,454.71	$4,168.69
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $53.70 / $79.43	Professional		$50.12	$53.70	$79.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $85.11	Professional		$32.36	$33.11	$85.11
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $1,584.89 / $3,890.45	Facility		$245.47	$1,584.89	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $70.79 / $128.82	Professional		$43.65	$70.79	$128.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $57.54 / $70.79	Professional		$35.48	$57.54	$70.79