Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.98 / $1,672.00 / $10,086.00	Facility		$239.98	$1,672.00	$10,086.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $161.13 / $173.85 / $189.65	Facility	54	$161.13	$173.85	$189.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.46 / $274.51 / $429.39	Professional		$220.46	$274.51	$429.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $312.89 / $312.89 / $312.89	Professional		$312.89	$312.89	$312.89
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 $235.50 / $350.99 / $551.45	Professional		$235.50	$350.99	$551.45
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 $120.74 / $241.47 / $331.04	Professional		$120.74	$241.47	$331.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.47 / $205.79 / $408.65	Professional		$35.47	$205.79	$408.65
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 $211.20 / $294.82 / $553.16	Professional		$211.20	$294.82	$553.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $217.03 / $237.45 / $237.45	Professional		$217.03	$237.45	$237.45