Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,698.24 / $6,918.31	Facility		$416.87	$1,698.24	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $426.58 / $812.83	Professional		$269.15	$426.58	$812.83
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $616.60 / $1,122.02 / $1,380.38	Professional	50	$616.60	$1,122.02	$1,380.38
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $263.03 / $436.52 / $676.08	Professional	54	$263.03	$436.52	$676.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $380.19 / $602.56	Professional		$316.23	$380.19	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $128.82 / $562.34	Facility		$34.67	$128.82	$562.34
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $389.05 / $389.05 / $389.05	Facility	54	$389.05	$389.05	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $398.11 / $630.96	Professional		$257.04	$398.11	$630.96
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,454.71 / $4,168.69	Facility		$1,513.56	$2,454.71	$4,168.69
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $275.42 / $389.05	Professional		$151.36	$275.42	$389.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $288.40 / $562.34	Professional		$32.36	$288.40	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $1,584.89 / $4,168.69	Facility		$269.15	$1,584.89	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $309.03 / $562.34	Professional		$213.80	$309.03	$562.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $275.42 / $398.11	Professional		$263.03	$275.42	$398.11