Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.67 / $2,815.00 / $10,632.00	Facility		$197.67	$2,815.00	$10,632.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $138.74 / $148.25 / $162.24	Facility	54	$138.74	$148.25	$162.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.06 / $232.54 / $335.05	Professional		$188.06	$232.54	$335.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $232.48 / $232.48 / $315.00	Professional		$232.48	$232.48	$315.00
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 $197.88 / $300.14 / $472.07	Professional		$197.88	$300.14	$472.07
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 $103.72 / $217.09 / $297.00	Professional		$103.72	$217.09	$297.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.14 / $203.51 / $327.99	Professional		$32.14	$203.51	$327.99
United Facility/Professional Facility Modifier Low / Median / High Price $290.54 / $1,911.00 / $5,107.00	Facility		$290.54	$1,911.00	$5,107.00
United Facility/Professional Professional Modifier Low / Median / High Price $176.80 / $251.88 / $437.96	Professional		$176.80	$251.88	$437.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $184.09 / $198.13 / $198.13	Professional		$184.09	$198.13	$198.13