Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.76 / $2,747.00 / $10,632.00	Facility		$250.76	$2,747.00	$10,632.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $168.53 / $184.51 / $199.82	Facility	54	$168.53	$184.51	$199.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $228.27 / $292.45 / $459.20	Professional		$228.27	$292.45	$459.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $153.76 / $153.76 / $332.08	Professional		$153.76	$153.76	$332.08
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 $245.10 / $371.01 / $581.16	Professional		$245.10	$371.01	$581.16
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $3,988.00 / $11,777.00 / $22,833.00	Facility		$3,988.00	$11,777.00	$22,833.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $126.09 / $252.69 / $349.00	Professional		$126.09	$252.69	$349.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.47 / $205.79 / $410.45	Professional		$35.47	$205.79	$410.45
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 $217.49 / $308.27 / $546.61	Professional		$217.49	$308.27	$546.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $230.56 / $250.47 / $250.47	Professional		$230.56	$250.47	$250.47