Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $10,086.00 / $27,192.00	Facility		$996.00	$10,086.00	$27,192.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $248.38 / $262.07 / $274.50	Facility	52	$248.38	$262.07	$274.50
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $99.35 / $104.83 / $109.80	Facility	53	$99.35	$104.83	$109.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.14 / $598.51 / $1,217.76	Professional		$524.14	$598.51	$1,217.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $599.79 / $680.93 / $879.48	Professional		$599.79	$680.93	$879.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,742.00 / $16,521.00 / $38,010.00	Facility		$7,742.00	$16,521.00	$38,010.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $545.41 / $810.96 / $1,403.52	Professional		$545.41	$810.96	$1,403.52
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $12,769.00 / $23,980.00 / $46,080.00	Facility		$12,769.00	$23,980.00	$46,080.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $410.42 / $439.74 / $886.82	Professional		$410.42	$439.74	$886.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $510.81 / $650.42 / $814.25	Professional		$510.81	$650.42	$814.25
United Facility/Professional Facility Modifier Low / Median / High Price $4,364.00 / $19,732.00 / $35,288.00	Facility		$4,364.00	$19,732.00	$35,288.00
United Facility/Professional Professional Modifier Low / Median / High Price $547.37 / $770.89 / $1,372.66	Professional		$547.37	$770.89	$1,372.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $439.41 / $439.41 / $439.41	Professional		$439.41	$439.41	$439.41