Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.10 / $2,084.00 / $11,481.00	Facility		$159.10	$2,084.00	$11,481.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $101.51 / $119.33 / $127.37	Facility	54	$101.51	$119.33	$127.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.16 / $185.29 / $299.64	Professional		$150.16	$185.29	$299.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $183.33 / $183.33 / $183.33	Professional		$183.33	$183.33	$183.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.05 / $124.78 / $148.54	Facility		$123.05	$124.78	$148.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.09 / $234.19 / $358.97	Professional		$156.09	$234.19	$358.97
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 $76.16 / $157.15 / $215.07	Professional		$76.16	$157.15	$215.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.06 / $148.27 / $258.38	Professional		$32.06	$148.27	$258.38
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 $133.24 / $181.91 / $328.75	Professional		$133.24	$181.91	$328.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $153.96 / $155.75 / $155.75	Professional		$153.96	$155.75	$155.75