Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.24 / $2,815.00 / $10,632.00	Facility		$203.24	$2,815.00	$10,632.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $132.29 / $152.43 / $158.63	Facility	54	$132.29	$152.43	$158.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.28 / $231.23 / $330.62	Professional		$191.28	$231.23	$330.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $161.38 / $327.81 / $406.94	Professional		$161.38	$327.81	$406.94
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 $200.04 / $296.76 / $462.09	Professional		$200.04	$296.76	$462.09
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 $97.26 / $194.51 / $267.89	Professional		$97.26	$194.51	$267.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.44 / $197.57 / $315.27	Professional		$33.44	$197.57	$315.27
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 $168.33 / $237.73 / $416.97	Professional		$168.33	$237.73	$416.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $190.98 / $197.62 / $197.62	Professional		$190.98	$197.62	$197.62