Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,395.00 / $16,264.00 / $43,231.00	Facility		$2,395.00	$16,264.00	$43,231.00
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $32,700.14 / $32,700.14 / $33,355.50	Facility	22	$32,700.14	$32,700.14	$33,355.50
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $159.93 / $198.26 / $207.46	Facility	53	$159.93	$198.26	$207.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $939.68 / $1,055.32 / $2,309.82	Professional		$939.68	$1,055.32	$2,309.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $874.93 / $962.43 / $1,220.05	Professional		$874.93	$962.43	$1,220.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $16,521.00 / $47,578.00	Facility		$400.00	$16,521.00	$47,578.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $893.03 / $1,430.12 / $2,501.77	Professional		$893.03	$1,430.12	$2,501.77
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $13,312.00 / $24,073.00 / $46,234.00	Facility		$13,312.00	$24,073.00	$46,234.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $658.55 / $705.59 / $1,422.96	Professional		$658.55	$705.59	$1,422.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $854.14 / $1,070.84 / $1,343.07	Professional		$854.14	$1,070.84	$1,343.07
United Facility/Professional Facility Modifier Low / Median / High Price $8,194.00 / $23,148.00 / $44,951.00	Facility		$8,194.00	$23,148.00	$44,951.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,003.13 / $1,420.87 / $2,562.78	Professional		$1,003.13	$1,420.87	$2,562.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $707.76 / $707.76 / $707.76	Professional		$707.76	$707.76	$707.76