Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.33 / $1,301.00 / $9,095.00	Facility		$266.33	$1,301.00	$9,095.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $177.80 / $199.88 / $206.00	Facility	54	$177.80	$199.88	$206.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.83 / $310.39 / $468.98	Professional		$250.83	$310.39	$468.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $161.72 / $161.72 / $505.73	Professional		$161.72	$161.72	$505.73
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 $262.41 / $391.16 / $609.80	Professional		$262.41	$391.16	$609.80
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 $133.41 / $277.57 / $377.47	Professional		$133.41	$277.57	$377.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.51 / $214.72 / $414.94	Professional		$35.51	$214.72	$414.94
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 $229.05 / $324.82 / $598.80	Professional		$229.05	$324.82	$598.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $246.13 / $254.05 / $254.05	Professional		$246.13	$254.05	$254.05