Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.43 / $2,815.00 / $10,632.00	Facility		$265.43	$2,815.00	$10,632.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $186.58 / $199.07 / $217.25	Facility	54	$186.58	$199.07	$217.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.99 / $311.42 / $480.15	Professional		$251.99	$311.42	$480.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $320.33 / $320.33 / $438.00	Professional		$320.33	$320.33	$438.00
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 $267.10 / $401.72 / $637.54	Professional		$267.10	$401.72	$637.54
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 $140.16 / $280.32 / $375.81	Professional		$140.16	$280.32	$375.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.62 / $239.28 / $452.67	Professional		$35.62	$239.28	$452.67
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 $244.20 / $341.74 / $624.70	Professional		$244.20	$341.74	$624.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $248.69 / $269.62 / $269.62	Professional		$248.69	$269.62	$269.62