Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $2,951.21 / $10,000.00	Facility		$295.12	$2,951.21	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $363.08 / $691.83	Professional		$245.47	$363.08	$691.83
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $316.23 / $398.11 / $724.44	Professional	54	$316.23	$398.11	$724.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $309.03 / $676.08	Professional		$141.25	$309.03	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $128.82 / $501.19	Facility		$34.67	$128.82	$501.19
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $346.74 / $346.74 / $346.74	Facility	54	$346.74	$346.74	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $363.08 / $575.44	Professional		$229.09	$363.08	$575.44
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 $144.54 / $239.88 / $346.74	Professional		$144.54	$239.88	$346.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $257.04 / $489.78	Professional		$32.36	$257.04	$489.78
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 $199.53 / $275.42 / $501.19	Professional		$199.53	$275.42	$501.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $245.47 / $354.81	Professional		$234.42	$245.47	$354.81