Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.45 / $806.67 / $6,223.00	Facility		$265.45	$806.67	$6,223.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $115.02 / $129.19 / $149.56	Facility	52	$115.02	$129.19	$149.56
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $172.53 / $193.79 / $216.69	Facility	54	$172.53	$193.79	$216.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $235.79 / $305.77 / $459.34	Professional		$235.79	$305.77	$459.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $342.71 / $647.39 / $1,081.61	Professional		$342.71	$647.39	$1,081.61
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 $256.25 / $383.95 / $597.23	Professional		$256.25	$383.95	$597.23
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 $129.00 / $270.00 / $378.82	Professional		$129.00	$270.00	$378.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.98 / $224.64 / $456.39	Professional		$35.98	$224.64	$456.39
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 $224.37 / $312.12 / $563.84	Professional		$224.37	$312.12	$563.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $242.81 / $269.37 / $269.37	Professional		$242.81	$269.37	$269.37