Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,211.00 / $4,849.22 / $11,118.00	Facility		$1,211.00	$4,849.22	$11,118.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $7,834.20 / $7,834.20 / $7,834.20	Facility	50	$7,834.20	$7,834.20	$7,834.20
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $80.93 / $80.93 / $90.48	Facility	53	$80.93	$80.93	$90.48
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $303.50 / $303.50 / $339.29	Facility	54	$303.50	$303.50	$339.29
Aetna Facility/Professional Facility Modifier 55 Low / Median / High Price $60.70 / $60.70 / $67.86	Facility	55	$60.70	$60.70	$67.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $404.66 / $599.62 / $1,021.55	Professional		$404.66	$599.62	$1,021.55
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $4,329.68 / $4,329.68 / $4,329.68	Professional	50	$4,329.68	$4,329.68	$4,329.68
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $202.33 / $281.88 / $409.30	Professional	52	$202.33	$281.88	$409.30
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $303.50 / $436.81 / $766.16	Professional	54	$303.50	$436.81	$766.16
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $60.70 / $84.56 / $113.78	Professional	55	$60.70	$84.56	$113.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $410.93 / $502.68 / $882.14	Professional		$410.93	$502.68	$882.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $975.00 / $1,210.38 / $12,450.00	Facility		$975.00	$1,210.38	$12,450.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $423.55 / $751.64 / $1,497.82	Professional		$423.55	$751.64	$1,497.82
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $3,105.00 / $5,731.00 / $11,037.00	Facility		$3,105.00	$5,731.00	$11,037.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $325.37 / $401.19 / $728.21	Professional		$325.37	$401.19	$728.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.53 / $379.35 / $704.12	Professional		$72.53	$379.35	$704.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,666.00 / $5,700.00 / $9,651.00	Facility		$1,666.00	$5,700.00	$9,651.00
United Facility/Professional Professional Modifier Low / Median / High Price $429.32 / $588.94 / $1,053.86	Professional		$429.32	$588.94	$1,053.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $411.84 / $411.84 / $411.84	Professional		$411.84	$411.84	$411.84