Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.74 / $1,436.00 / $8,269.00	Facility		$275.74	$1,436.00	$8,269.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $186.86 / $198.53 / $221.12	Facility	54	$186.86	$198.53	$221.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.24 / $321.22 / $532.15	Professional		$258.24	$321.22	$532.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $419.82 / $419.82 / $419.82	Professional		$419.82	$419.82	$419.82
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 $268.68 / $409.63 / $646.45	Professional		$268.68	$409.63	$646.45
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 $143.77 / $287.54 / $386.57	Professional		$143.77	$287.54	$386.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.98 / $250.55 / $464.53	Professional		$35.98	$250.55	$464.53
United Facility/Professional Facility Modifier Low / Median / High Price $290.54 / $1,916.00 / $5,107.00	Facility		$290.54	$1,916.00	$5,107.00
United Facility/Professional Professional Modifier Low / Median / High Price $245.11 / $349.80 / $613.26	Professional		$245.11	$349.80	$613.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $245.88 / $276.01 / $276.01	Professional		$245.88	$276.01	$276.01