Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.96 / $988.00 / $8,529.00	Facility		$93.96	$988.00	$8,529.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $27.82 / $41.34 / $47.17	Facility	52	$27.82	$41.34	$47.17
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $11.13 / $16.54 / $18.87	Facility	53	$11.13	$16.54	$18.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.33 / $94.33 / $223.00	Professional		$72.33	$94.33	$223.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $30.86 / $44.39 / $62.70	Professional	52	$30.86	$44.39	$62.70
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $12.34 / $18.12 / $25.08	Professional	53	$12.34	$18.12	$25.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.52 / $115.67 / $154.83	Professional		$88.52	$115.67	$154.83
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $23.26 / $23.26 / $27.24	Professional	52	$23.26	$23.26	$27.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.87 / $51.58 / $61.41	Facility		$50.87	$51.58	$61.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.64 / $116.81 / $196.48	Professional		$65.64	$116.81	$196.48
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 $68.09 / $72.95 / $128.33	Professional		$68.09	$72.95	$128.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.85 / $109.15 / $146.84	Professional		$73.85	$109.15	$146.84
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 $85.62 / $123.32 / $208.85	Professional		$85.62	$123.32	$208.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $48.26 / $76.84 / $76.84	Professional		$48.26	$76.84	$76.84