Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.32 / $2,085.39 / $10,086.00	Facility		$436.32	$2,085.39	$10,086.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $307.99 / $327.35 / $353.68	Facility	54	$307.99	$327.35	$353.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $419.51 / $500.08 / $730.98	Professional		$419.51	$500.08	$730.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $406.48 / $406.48 / $406.48	Professional		$406.48	$406.48	$406.48
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 $432.93 / $649.39 / $1,040.92	Professional		$432.93	$649.39	$1,040.92
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 $235.60 / $487.00 / $601.91	Professional		$235.60	$487.00	$601.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.42 / $394.97 / $679.18	Professional		$70.42	$394.97	$679.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,014.00 / $3,611.00 / $8,105.00	Facility		$1,014.00	$3,611.00	$8,105.00
United Facility/Professional Professional Modifier Low / Median / High Price $393.04 / $561.82 / $1,063.57	Professional		$393.04	$561.82	$1,063.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $388.09 / $425.12 / $425.12	Professional		$388.09	$425.12	$425.12