Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.98 / $831.25 / $7,944.00	Facility		$268.98	$831.25	$7,944.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $162.69 / $201.74 / $216.94	Facility	54	$162.69	$201.74	$216.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.12 / $322.81 / $564.29	Professional		$240.12	$322.81	$564.29
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,393.38 / $1,393.38 / $1,393.38	Professional	50	$1,393.38	$1,393.38	$1,393.38
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $180.10 / $242.11 / $369.20	Professional	54	$180.10	$242.11	$369.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $312.26 / $377.13 / $542.01	Professional		$312.26	$377.13	$542.01
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 $264.92 / $401.45 / $621.17	Professional		$264.92	$401.45	$621.17
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 $121.88 / $262.77 / $381.23	Professional		$121.88	$262.77	$381.23
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 $227.62 / $318.05 / $588.61	Professional		$227.62	$318.05	$588.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $263.75 / $274.98 / $274.98	Professional		$263.75	$274.98	$274.98