Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $2,754.23 / $6,760.83	Facility		$549.54	$2,754.23	$6,760.83
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $52.48 / $100.00 / $158.49	Facility	53	$52.48	$100.00	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $316.23 / $812.83	Professional		$162.18	$316.23	$812.83
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $64.57 / $114.82 / $223.87	Professional	53	$64.57	$114.82	$223.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $208.93 / $363.08	Professional		$165.96	$208.93	$363.08
Ambetter Facility/Professional Professional Modifier 53 Low / Median / High Price $72.44 / $87.10 / $165.96	Professional	53	$72.44	$87.10	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $489.78 / $933.25	Facility		$371.54	$489.78	$933.25
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $446.68 / $446.68 / $446.68	Facility	22	$446.68	$446.68	$446.68
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $295.12 / $295.12 / $295.12	Facility	52	$295.12	$295.12	$295.12
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $74.13 / $74.13 / $467.74	Facility	53	$74.13	$74.13	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $41.69 / $107.15 / $389.05	Professional	53	$41.69	$107.15	$389.05
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $2,290.87 / $6,165.95	Facility		$562.34	$2,290.87	$6,165.95
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $346.74 / $446.68	Professional		$190.55	$346.74	$446.68
Florida Blue Facility/Professional Professional Modifier 53 Low / Median / High Price $64.57 / $131.83 / $213.80	Professional	53	$64.57	$131.83	$213.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $194.98	Professional		$32.36	$33.11	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $2,344.23 / $5,011.87	Facility		$501.19	$2,344.23	$5,011.87
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $288.40 / $524.81	Professional		$165.96	$288.40	$524.81
United Facility/Professional Professional Modifier 53 Low / Median / High Price $162.18 / $162.18 / $204.17	Professional	53	$162.18	$162.18	$204.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $281.84 / $371.54	Professional		$151.36	$281.84	$371.54
Wellpoint Facility/Professional Professional Modifier 53 Low / Median / High Price $75.86 / $141.25 / $186.21	Professional	53	$75.86	$141.25	$186.21