Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $274.02 / $6,024.00 / $12,444.00	Facility		$274.02	$6,024.00	$12,444.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $25.86 / $41.79 / $54.80	Facility	53	$25.86	$41.79	$54.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.13 / $215.78 / $403.38	Professional		$134.13	$215.78	$403.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.20 / $69.20 / $309.58	Professional		$69.20	$69.20	$309.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,668.84 / $12,484.00 / $54,020.00	Facility		$1,668.84	$12,484.00	$54,020.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.66 / $300.93 / $546.57	Professional		$156.66	$300.93	$546.57
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $4,169.00 / $8,416.00 / $15,897.00	Facility		$4,169.00	$8,416.00	$15,897.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $184.73 / $241.79 / $425.28	Professional		$184.73	$241.79	$425.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $243.01 / $362.71 / $488.25	Professional		$243.01	$362.71	$488.25
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 $217.22 / $335.03 / $635.82	Professional		$217.22	$335.03	$635.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $116.68 / $259.66 / $259.66	Professional		$116.68	$259.66	$259.66