Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.50 / $2,133.00 / $10,086.00	Facility		$214.50	$2,133.00	$10,086.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $142.63 / $158.36 / $171.54	Facility	54	$142.63	$158.36	$171.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.94 / $249.03 / $352.44	Professional		$193.94	$249.03	$352.44
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 $209.30 / $316.33 / $493.09	Professional		$209.30	$316.33	$493.09
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,438.00 / $2,406.00 / $4,241.00	Facility		$1,438.00	$2,406.00	$4,241.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $106.59 / $213.18 / $299.89	Professional		$106.59	$213.18	$299.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.48 / $230.64 / $365.10	Professional		$33.48	$230.64	$365.10
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 $185.27 / $257.39 / $490.07	Professional		$185.27	$257.39	$490.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $198.64 / $216.00 / $216.00	Professional		$198.64	$216.00	$216.00