Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $272.62 / $2,747.00 / $10,632.00	Facility		$272.62	$2,747.00	$10,632.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $184.01 / $197.49 / $217.58	Facility	54	$184.01	$197.49	$217.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.99 / $313.07 / $449.92	Professional		$246.99	$313.07	$449.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $319.16 / $339.99 / $536.76	Professional		$319.16	$339.99	$536.76
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 $267.05 / $401.08 / $632.90	Professional		$267.05	$401.08	$632.90
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 $138.69 / $290.29 / $377.79	Professional		$138.69	$290.29	$377.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.63 / $238.39 / $452.67	Professional		$35.63	$238.39	$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 $241.77 / $335.28 / $615.11	Professional		$241.77	$335.28	$615.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $246.90 / $271.41 / $271.41	Professional		$246.90	$271.41	$271.41