Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.73 / $1,792.00 / $9,450.00	Facility		$221.73	$1,792.00	$9,450.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $143.53 / $160.33 / $171.67	Facility	54	$143.53	$160.33	$171.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.43 / $252.13 / $407.85	Professional		$200.43	$252.13	$407.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $186.33 / $289.37 / $659.12	Professional		$186.33	$289.37	$659.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.73 / $128.51 / $152.99	Facility		$126.73	$128.51	$152.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.88 / $317.01 / $494.06	Professional		$211.88	$317.01	$494.06
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 $107.25 / $215.43 / $300.12	Professional		$107.25	$215.43	$300.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.28 / $214.02 / $361.24	Professional		$32.28	$214.02	$361.24
United Facility/Professional Facility Modifier Low / Median / High Price $290.54 / $1,916.00 / $5,107.00	Facility		$290.54	$1,916.00	$5,107.00
United Facility/Professional Professional Modifier Low / Median / High Price $188.50 / $266.44 / $475.84	Professional		$188.50	$266.44	$475.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $200.94 / $215.49 / $215.49	Professional		$200.94	$215.49	$215.49