Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.35 / $3,261.00 / $11,481.00	Facility		$407.35	$3,261.00	$11,481.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $270.66 / $305.51 / $311.60	Facility	54	$270.66	$305.51	$311.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $383.38 / $457.19 / $623.82	Professional		$383.38	$457.19	$623.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $541.70 / $541.70 / $541.70	Professional		$541.70	$541.70	$541.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $835.58 / $994.74	Facility		$323.00	$835.58	$994.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $387.01 / $589.29 / $923.17	Professional		$387.01	$589.29	$923.17
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2,578.00 / $4,823.00 / $9,635.00	Facility		$2,578.00	$4,823.00	$9,635.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $423.25 / $526.16	Professional		$203.58	$423.25	$526.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.89 / $355.32 / $626.48	Professional		$69.89	$355.32	$626.48
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 $338.94 / $476.94 / $868.54	Professional		$338.94	$476.94	$868.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $370.48 / $370.48 / $425.30	Professional		$370.48	$370.48	$425.30