Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $329.51 / $1,111.00 / $8,529.00	Facility		$329.51	$1,111.00	$8,529.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $212.62 / $227.16 / $248.86	Facility	54	$212.62	$227.16	$248.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.64 / $360.16 / $515.69	Professional		$285.64	$360.16	$515.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $613.73 / $613.73 / $613.73	Professional		$613.73	$613.73	$613.73
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 $308.79 / $461.02 / $722.96	Professional		$308.79	$461.02	$722.96
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 $159.02 / $318.04 / $432.03	Professional		$159.02	$318.04	$432.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.18 / $284.98 / $533.87	Professional		$36.18	$284.98	$533.87
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 $275.37 / $386.49 / $703.24	Professional		$275.37	$386.49	$703.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $282.89 / $309.20 / $309.20	Professional		$282.89	$309.20	$309.20