Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.21 / $2,747.00 / $10,632.00	Facility		$196.21	$2,747.00	$10,632.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $125.63 / $147.16 / $158.84	Facility	54	$125.63	$147.16	$158.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.66 / $225.90 / $321.07	Professional		$184.66	$225.90	$321.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $323.00 / $323.00 / $323.00	Professional		$323.00	$323.00	$323.00
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 $196.24 / $293.75 / $447.59	Professional		$196.24	$293.75	$447.59
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 $93.84 / $194.05 / $269.92	Professional		$93.84	$194.05	$269.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.21 / $194.70 / $308.32	Professional		$33.21	$194.70	$308.32
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 $160.63 / $227.61 / $438.34	Professional		$160.63	$227.61	$438.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $206.78 / $208.15 / $208.15	Professional		$206.78	$208.15	$208.15