Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $3,235.94 / $9,332.54	Facility		$144.54	$3,235.94	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $125.89 / $295.12	Professional		$93.33	$125.89	$295.12
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $43.65 / $257.04 / $371.54	Professional	52	$43.65	$257.04	$371.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $134.90 / $141.25	Professional		$77.62	$134.90	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $83.18 / $323.59	Facility		$34.67	$83.18	$323.59
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $151.36 / $151.36 / $151.36	Facility	52	$151.36	$151.36	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $147.91 / $234.42	Professional		$95.50	$147.91	$234.42
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,511.89 / $4,365.16	Facility		$1,548.82	$2,511.89	$4,365.16
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $104.71 / $147.91	Professional		$60.26	$104.71	$147.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $93.33 / $194.98	Professional		$32.36	$93.33	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $1,584.89 / $4,168.69	Facility		$269.15	$1,584.89	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $117.49 / $208.93	Professional		$81.28	$117.49	$208.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $102.33 / $141.25	Professional		$87.10	$102.33	$141.25