Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $267.30 / $2,815.00 / $10,632.00	Facility		$267.30	$2,815.00	$10,632.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $181.13 / $200.48 / $215.51	Facility	54	$181.13	$200.48	$215.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.08 / $317.61 / $502.52	Professional		$255.08	$317.61	$502.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $253.54 / $321.14 / $526.67	Professional		$253.54	$321.14	$526.67
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 $272.08 / $400.94 / $629.66	Professional		$272.08	$400.94	$629.66
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 $136.03 / $272.27 / $376.75	Professional		$136.03	$272.27	$376.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.63 / $238.39 / $452.67	Professional		$35.63	$238.39	$452.67
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 $237.26 / $333.41 / $585.62	Professional		$237.26	$333.41	$585.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $256.35 / $270.39 / $270.39	Professional		$256.35	$270.39	$270.39