Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.66 / $2,815.00 / $10,632.00	Facility		$191.66	$2,815.00	$10,632.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $134.47 / $142.87 / $151.19	Facility	54	$134.47	$142.87	$151.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.87 / $223.26 / $366.79	Professional		$183.87	$223.26	$366.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.68 / $160.90 / $456.81	Professional		$112.68	$160.90	$456.81
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 $188.18 / $282.13 / $437.56	Professional		$188.18	$282.13	$437.56
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 $91.58 / $188.22 / $255.32	Professional		$91.58	$188.22	$255.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.06 / $173.13 / $281.80	Professional		$32.06	$173.13	$281.80
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 $159.66 / $222.39 / $393.72	Professional		$159.66	$222.39	$393.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $182.05 / $186.39 / $186.39	Professional		$182.05	$186.39	$186.39