Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,395.00 / $8,449.00 / $13,498.00	Facility		$2,395.00	$8,449.00	$13,498.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $98.26 / $140.66 / $1,120.00	Facility	52	$98.26	$140.66	$1,120.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $39.31 / $56.27 / $227.47	Facility	53	$39.31	$56.27	$227.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.45 / $373.52 / $1,716.82	Professional		$205.45	$373.52	$1,716.82
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $40.79 / $56.27 / $276.50	Professional	53	$40.79	$56.27	$276.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $210.40 / $237.27 / $1,112.71	Professional		$210.40	$237.27	$1,112.71
Ambetter Facility/Professional Professional Modifier 53 Low / Median / High Price $1,050.99 / $1,050.99 / $1,050.99	Professional	53	$1,050.99	$1,050.99	$1,050.99
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 $235.71 / $449.49 / $2,051.01	Professional		$235.71	$449.49	$2,051.01
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 $249.13 / $808.46 / $1,097.19	Professional		$249.13	$808.46	$1,097.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $884.61 / $1,347.72 / $1,834.96	Professional		$884.61	$1,347.72	$1,834.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,681.00 / $5,700.00 / $10,192.00	Facility		$1,681.00	$5,700.00	$10,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $320.08 / $1,194.06 / $2,317.36	Professional		$320.08	$1,194.06	$2,317.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $177.20 / $474.95 / $474.95	Professional		$177.20	$474.95	$474.95