Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.04 / $1,129.93 / $7,368.00	Facility		$215.04	$1,129.93	$7,368.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $97.48 / $116.42 / $132.47	Facility	54	$97.48	$116.42	$132.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.01 / $178.32 / $322.60	Professional		$144.01	$178.32	$322.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $174.83 / $196.15 / $388.40	Professional		$174.83	$196.15	$388.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.33 / $118.97 / $141.63	Facility		$117.33	$118.97	$141.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.55 / $208.40 / $325.55	Professional		$150.55	$208.40	$325.55
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,881.00 / $6,066.00	Facility		$1,735.00	$2,881.00	$6,066.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $95.59 / $158.26 / $247.94	Professional		$95.59	$158.26	$247.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.30 / $193.82 / $266.36	Professional		$137.30	$193.82	$266.36
United Facility/Professional Facility Modifier Low / Median / High Price $366.00 / $1,950.00 / $4,970.00	Facility		$366.00	$1,950.00	$4,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $144.94 / $189.18 / $347.92	Professional		$144.94	$189.18	$347.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $141.96 / $164.43 / $164.43	Professional		$141.96	$164.43	$164.43