Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.38 / $2,284.00 / $7,433.00	Facility		$207.38	$2,284.00	$7,433.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $16.50 / $17.80 / $41.48	Facility	53	$16.50	$17.80	$41.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.01 / $200.60 / $331.26	Professional		$89.01	$200.60	$331.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.93 / $221.70 / $321.83	Professional		$89.93	$221.70	$321.83
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 $94.80 / $201.09 / $418.73	Professional		$94.80	$201.09	$418.73
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2,104.00 / $3,158.00 / $7,922.00	Facility		$2,104.00	$3,158.00	$7,922.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $110.88 / $225.01 / $283.64	Professional		$110.88	$225.01	$283.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $184.80 / $284.00 / $431.53	Professional		$184.80	$284.00	$431.53
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 $183.24 / $258.44 / $450.47	Professional		$183.24	$258.44	$450.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.83 / $194.81 / $194.81	Professional		$75.83	$194.81	$194.81