Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $341.13 / $2,747.00 / $10,632.00	Facility		$341.13	$2,747.00	$10,632.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $228.65 / $255.85 / $258.83	Facility	54	$228.65	$255.85	$258.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $321.06 / $387.80 / $517.44	Professional		$321.06	$387.80	$517.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $349.53 / $349.53 / $349.53	Professional		$349.53	$349.53	$349.53
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 $324.41 / $493.86 / $774.12	Professional		$324.41	$493.86	$774.12
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 $170.57 / $357.00 / $474.00	Professional		$170.57	$357.00	$474.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.39 / $295.84 / $511.81	Professional		$36.39	$295.84	$511.81
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 $289.08 / $403.32 / $731.79	Professional		$289.08	$403.32	$731.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $307.41 / $309.95 / $309.95	Professional		$307.41	$309.95	$309.95