Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $346.74 / $6,456.54	Facility		$56.23	$346.74	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $21.88 / $53.70	Professional		$12.02	$21.88	$53.70
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $19.95 / $38.02 / $85.11	Professional	50	$19.95	$38.02	$85.11
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $16.22 / $38.90 / $114.82	Professional	52	$16.22	$38.90	$114.82
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $7.94 / $8.13 / $8.13	Professional	53	$7.94	$8.13	$8.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $14.79 / $28.18	Professional		$11.75	$14.79	$28.18
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $17.78 / $22.91 / $37.15	Professional	50	$17.78	$22.91	$37.15
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $19.95 / $19.95 / $19.95	Professional	52	$19.95	$19.95	$19.95
Ambetter Facility/Professional Professional Modifier 53 Low / Median / High Price $33.88 / $33.88 / $33.88	Professional	53	$33.88	$33.88	$33.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $34.67 / $323.59	Facility		$24.55	$34.67	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $18.20 / $33.88	Professional		$12.02	$18.20	$33.88
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,862.09 / $3,235.94	Facility		$1,258.93	$1,862.09	$3,235.94
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $12.30 / $15.49	Professional		$11.48	$12.30	$15.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $32.36 / $33.11	Professional		$16.98	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,584.89 / $3,890.45	Facility		$199.53	$1,584.89	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $16.22 / $28.18	Professional		$10.72	$16.22	$28.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $16.60	Professional		$12.02	$12.02	$16.60