Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $226.10 / $794.00 / $7,433.00	Facility		$226.10	$794.00	$7,433.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $154.49 / $169.58 / $188.88	Facility	54	$154.49	$169.58	$188.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.78 / $266.73 / $398.30	Professional		$208.78	$266.73	$398.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $311.02 / $311.02 / $311.02	Professional		$311.02	$311.02	$311.02
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 $224.50 / $338.74 / $523.14	Professional		$224.50	$338.74	$523.14
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 $115.54 / $237.03 / $330.20	Professional		$115.54	$237.03	$330.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.48 / $155.05 / $380.12	Professional		$33.48	$155.05	$380.12
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 $200.40 / $277.95 / $505.88	Professional		$200.40	$277.95	$505.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $213.45 / $234.64 / $234.64	Professional		$213.45	$234.64	$234.64