Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.95 / $1,115.00 / $8,988.00	Facility		$262.95	$1,115.00	$8,988.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $182.16 / $195.57 / $226.33	Facility	54	$182.16	$195.57	$226.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.49 / $324.41 / $492.07	Professional		$247.49	$324.41	$492.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $285.94 / $294.94 / $771.47	Professional		$285.94	$294.94	$771.47
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 $253.06 / $379.43 / $597.37	Professional		$253.06	$379.43	$597.37
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 $169.44 / $310.45 / $391.34	Professional		$169.44	$310.45	$391.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.62 / $184.21 / $453.77	Professional		$33.62	$184.21	$453.77
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 $235.49 / $338.44 / $576.04	Professional		$235.49	$338.44	$576.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $233.88 / $248.94 / $248.94	Professional		$233.88	$248.94	$248.94