Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.11 / $705.16 / $6,704.97	Facility		$205.11	$705.16	$6,704.97
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $54.64 / $63.28 / $77.34	Facility	54	$54.64	$63.28	$77.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.70 / $102.40 / $208.60	Professional		$79.70	$102.40	$208.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.86 / $120.75 / $178.16	Professional		$93.86	$120.75	$178.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.17 / $80.28 / $95.57	Facility		$79.17	$80.28	$95.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.74 / $120.48 / $188.61	Professional		$85.74	$120.48	$188.61
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,424.00 / $2,394.00 / $4,241.00	Facility		$1,424.00	$2,394.00	$4,241.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $55.47 / $91.36 / $146.27	Professional		$55.47	$91.36	$146.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.52 / $107.01 / $161.44	Professional		$77.52	$107.01	$161.44
United Facility/Professional Facility Modifier Low / Median / High Price $351.00 / $1,954.00 / $5,107.00	Facility		$351.00	$1,954.00	$5,107.00
United Facility/Professional Professional Modifier Low / Median / High Price $81.56 / $106.00 / $189.76	Professional		$81.56	$106.00	$189.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $82.73 / $98.04 / $98.04	Professional		$82.73	$98.04	$98.04