Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $277.45 / $2,011.00 / $10,086.00	Facility		$277.45	$2,011.00	$10,086.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $194.37 / $208.56 / $226.66	Facility	54	$194.37	$208.56	$226.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.62 / $329.14 / $476.39	Professional		$268.62	$329.14	$476.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $333.90 / $333.90 / $379.85	Professional		$333.90	$333.90	$379.85
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 $283.13 / $422.83 / $660.78	Professional		$283.13	$422.83	$660.78
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 $145.41 / $298.00 / $391.72	Professional		$145.41	$298.00	$391.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.98 / $251.52 / $464.66	Professional		$35.98	$251.52	$464.66
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 $245.80 / $346.97 / $649.89	Professional		$245.80	$346.97	$649.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $259.92 / $280.35 / $280.35	Professional		$259.92	$280.35	$280.35