Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $293.81 / $2,747.00 / $10,632.00	Facility		$293.81	$2,747.00	$10,632.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $198.08 / $216.39 / $234.14	Facility	54	$198.08	$216.39	$234.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.77 / $338.94 / $483.56	Professional		$267.77	$338.94	$483.56
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 $289.01 / $434.25 / $677.54	Professional		$289.01	$434.25	$677.54
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 $148.31 / $296.62 / $409.13	Professional		$148.31	$296.62	$409.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.98 / $260.06 / $481.05	Professional		$35.98	$260.06	$481.05
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 $257.61 / $354.20 / $638.13	Professional		$257.61	$354.20	$638.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $269.88 / $293.11 / $293.11	Professional		$269.88	$293.11	$293.11