Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $280.33 / $2,133.00 / $10,086.00	Facility		$280.33	$2,133.00	$10,086.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $186.74 / $203.09 / $226.54	Facility	54	$186.74	$203.09	$226.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.90 / $321.73 / $498.85	Professional		$249.90	$321.73	$498.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $302.64 / $302.64 / $302.64	Professional		$302.64	$302.64	$302.64
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 $271.06 / $412.54 / $642.41	Professional		$271.06	$412.54	$642.41
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 $140.19 / $280.39 / $396.05	Professional		$140.19	$280.39	$396.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.62 / $238.39 / $453.54	Professional		$35.62	$238.39	$453.54
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 $240.18 / $336.36 / $637.30	Professional		$240.18	$336.36	$637.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $253.79 / $284.69 / $284.69	Professional		$253.79	$284.69	$284.69