Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.89 / $2,747.00 / $10,086.00	Facility		$256.89	$2,747.00	$10,086.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $178.98 / $192.67 / $212.44	Facility	54	$178.98	$192.67	$212.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.18 / $306.18 / $475.84	Professional		$242.18	$306.18	$475.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $327.36 / $327.36 / $802.01	Professional		$327.36	$327.36	$802.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.73 / $128.77 / $432.00	Facility		$126.73	$128.77	$432.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $261.26 / $391.78 / $611.86	Professional		$261.26	$391.78	$611.86
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 $134.01 / $280.10 / $371.39	Professional		$134.01	$280.10	$371.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.62 / $184.21 / $455.11	Professional		$33.62	$184.21	$455.11
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 $230.55 / $324.72 / $579.77	Professional		$230.55	$324.72	$579.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $240.26 / $266.30 / $266.30	Professional		$240.26	$266.30	$266.30