Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.16 / $2,843.00 / $10,632.00	Facility		$416.16	$2,843.00	$10,632.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $278.70 / $312.66 / $315.50	Facility	54	$278.70	$312.66	$315.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.36 / $472.79 / $637.47	Professional		$392.36	$472.79	$637.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $552.84 / $552.84 / $552.84	Professional		$552.84	$552.84	$552.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.73 / $128.77 / $323.00	Facility		$126.73	$128.77	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $400.02 / $604.17 / $946.00	Professional		$400.02	$604.17	$946.00
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 $209.89 / $422.96 / $545.80	Professional		$209.89	$422.96	$545.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.39 / $380.33 / $642.50	Professional		$70.39	$380.33	$642.50
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 $352.72 / $493.81 / $906.16	Professional		$352.72	$493.81	$906.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $378.39 / $385.03 / $385.03	Professional		$378.39	$385.03	$385.03