Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $7,943.28 / $14,125.38	Facility		$1,513.56	$7,943.28	$14,125.38
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,122.02 / $1,148.15 / $10,471.29	Facility	52	$1,122.02	$1,148.15	$10,471.29
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility	53	$2,187.76	$2,187.76	$2,187.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $501.19 / $2,344.23	Professional		$223.87	$501.19	$2,344.23
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $69.18 / $77.62 / $177.83	Professional	53	$69.18	$77.62	$177.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $288.40 / $1,148.15	Professional		$199.53	$288.40	$1,148.15
Ambetter Facility/Professional Professional Modifier 53 Low / Median / High Price $288.40 / $1,096.48 / $1,148.15	Professional	53	$288.40	$1,096.48	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $12,589.25 / $53,703.18	Facility		$1,659.59	$12,589.25	$53,703.18
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $467.74 / $467.74 / $467.74	Facility	22	$467.74	$467.74	$467.74
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $316.23 / $316.23 / $316.23	Facility	52	$316.23	$316.23	$316.23
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $79.43 / $79.43 / $79.43	Facility	53	$79.43	$79.43	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $467.74 / $2,238.72	Professional		$239.88	$467.74	$2,238.72
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $8,317.64 / $16,595.87	Facility		$4,365.16	$8,317.64	$16,595.87
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $870.96 / $977.24	Professional		$331.13	$870.96	$977.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $776.25	Professional		$32.36	$33.11	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $5,623.41 / $9,772.37	Facility		$1,737.80	$5,623.41	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $407.38 / $1,949.84	Professional		$229.09	$407.38	$1,949.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $478.63 / $1,230.27	Professional		$177.83	$478.63	$1,230.27