Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $251.94 / $589.01	Facility		$36.00	$251.94	$589.01
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $4.73 / $5.22 / $16.67	Facility	52	$4.73	$5.22	$16.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.43 / $31.53 / $61.79	Professional		$10.43	$31.53	$61.79
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $4.93 / $14.86 / $22.17	Professional	52	$4.93	$14.86	$22.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.22 / $20.41 / $55.65	Professional		$10.22	$20.41	$55.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.09 / $19.09 / $19.09	Facility		$19.09	$19.09	$19.09
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $15.27 / $15.27 / $15.27	Facility	52	$15.27	$15.27	$15.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.71 / $32.57 / $71.78	Professional		$12.71	$32.57	$71.78
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $41.48 / $41.48 / $41.48	Facility		$41.48	$41.48	$41.48
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $23.76 / $39.36 / $56.31	Professional		$23.76	$39.36	$56.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.25 / $35.62 / $59.64	Professional		$23.25	$35.62	$59.64
United Facility/Professional Professional Modifier Low / Median / High Price $30.71 / $45.33 / $76.93	Professional		$30.71	$45.33	$76.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.94 / $27.83 / $27.83	Professional		$8.94	$27.83	$27.83