Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.34 / $2,215.00 / $9,095.00	Facility		$162.34	$2,215.00	$9,095.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $14.22 / $22.17 / $33.61	Facility	53	$14.22	$22.17	$33.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.86 / $152.79 / $259.97	Professional		$73.86	$152.79	$259.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $78.56 / $132.47 / $173.43	Professional		$78.56	$132.47	$173.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.88 / $77.77 / $140.54	Facility		$73.88	$77.77	$140.54
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $28.11 / $28.11 / $28.11	Facility	53	$28.11	$28.11	$28.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.17 / $169.72 / $358.67	Professional		$86.17	$169.72	$358.67
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $50.91 / $188.85 / $235.64	Facility		$50.91	$188.85	$235.64
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $121.71 / $207.54 / $260.91	Professional		$121.71	$207.54	$260.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $130.42 / $204.94 / $332.57	Professional		$130.42	$204.94	$332.57
United Facility/Professional Facility Modifier Low / Median / High Price $351.00 / $1,916.00 / $4,970.00	Facility		$351.00	$1,916.00	$4,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $159.13 / $234.27 / $412.99	Professional		$159.13	$234.27	$412.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $63.07 / $140.43 / $140.43	Professional		$63.07	$140.43	$140.43