Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.11 / $2,815.00 / $10,632.00	Facility		$254.11	$2,815.00	$10,632.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $177.83 / $190.58 / $205.85	Facility	54	$177.83	$190.58	$205.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.75 / $287.41 / $394.38	Professional		$237.75	$287.41	$394.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $535.04 / $535.04 / $535.04	Professional		$535.04	$535.04	$535.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.73 / $128.77 / $323.00	Facility		$126.73	$128.77	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.10 / $378.72 / $592.59	Professional		$245.10	$378.72	$592.59
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,438.00 / $2,403.00 / $4,241.00	Facility		$1,438.00	$2,403.00	$4,241.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $133.66 / $259.54 / $347.41	Professional		$133.66	$259.54	$347.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $248.37 / $404.12	Professional		$35.92	$248.37	$404.12
United Facility/Professional Facility Modifier Low / Median / High Price $366.00 / $1,950.00 / $5,107.00	Facility		$366.00	$1,950.00	$5,107.00
United Facility/Professional Professional Modifier Low / Median / High Price $220.92 / $307.08 / $545.79	Professional		$220.92	$307.08	$545.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $234.39 / $245.11 / $245.11	Professional		$234.39	$245.11	$245.11