Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.87 / $2,324.00 / $10,086.00	Facility		$257.87	$2,324.00	$10,086.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $175.31 / $186.27 / $205.49	Facility	54	$175.31	$186.27	$205.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.61 / $298.99 / $515.10	Professional		$236.61	$298.99	$515.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.77 / $289.45 / $828.20	Professional		$87.77	$289.45	$828.20
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 $251.17 / $377.62 / $601.69	Professional		$251.17	$377.62	$601.69
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 $132.53 / $265.05 / $351.07	Professional		$132.53	$265.05	$351.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.47 / $205.87 / $410.45	Professional		$35.47	$205.87	$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 $227.62 / $323.35 / $589.74	Professional		$227.62	$323.35	$589.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $230.56 / $252.01 / $252.01	Professional		$230.56	$252.01	$252.01