Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $342.00 / $1,449.00 / $7,368.00	Facility		$342.00	$1,449.00	$7,368.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $32.90 / $61.25 / $67.88	Facility	52	$32.90	$61.25	$67.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.09 / $124.25 / $211.88	Professional		$64.09	$124.25	$211.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.86 / $107.89 / $246.62	Professional		$88.86	$107.89	$246.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $370.55 / $441.13	Facility		$323.00	$370.55	$441.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.43 / $126.17 / $250.60	Professional		$62.43	$126.17	$250.60
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2,104.00 / $3,151.00 / $7,541.00	Facility		$2,104.00	$3,151.00	$7,541.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $68.79 / $137.57 / $167.55	Professional		$68.79	$137.57	$167.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $96.75 / $142.11 / $221.22	Professional		$96.75	$142.11	$221.22
United Facility/Professional Facility Modifier Low / Median / High Price $591.00 / $2,671.00 / $6,077.00	Facility		$591.00	$2,671.00	$6,077.00
United Facility/Professional Professional Modifier Low / Median / High Price $106.91 / $152.50 / $263.18	Professional		$106.91	$152.50	$263.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $111.83 / $111.83	Professional		$49.28	$111.83	$111.83