Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $2,227.03 / $8,159.00	Facility		$620.00	$2,227.03	$8,159.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $475.68 / $475.68 / $776.21	Facility	52	$475.68	$475.68	$776.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.12 / $191.05 / $317.83	Professional		$80.12	$191.05	$317.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.62 / $119.60 / $191.48	Professional		$65.62	$119.60	$191.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $145.07 / $370.55 / $441.13	Facility		$145.07	$370.55	$441.13
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $116.06 / $116.06 / $116.06	Facility	52	$116.06	$116.06	$116.06
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $29.01 / $29.01 / $29.01	Facility	53	$29.01	$29.01	$29.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.44 / $204.50 / $487.94	Professional		$92.44	$204.50	$487.94
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2,104.00 / $3,151.00 / $7,224.00	Facility		$2,104.00	$3,151.00	$7,224.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $118.16 / $172.70 / $272.91	Professional		$118.16	$172.70	$272.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $155.13 / $253.87 / $391.55	Professional		$155.13	$253.87	$391.55
United Facility/Professional Facility Modifier Low / Median / High Price $624.00 / $2,671.00 / $6,358.00	Facility		$624.00	$2,671.00	$6,358.00
United Facility/Professional Professional Modifier Low / Median / High Price $199.80 / $286.94 / $495.29	Professional		$199.80	$286.94	$495.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $64.59 / $167.49 / $167.49	Professional		$64.59	$167.49	$167.49