Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.43 / $2,084.00 / $10,086.00	Facility		$192.43	$2,084.00	$10,086.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $128.28 / $136.30 / $153.34	Facility	54	$128.28	$136.30	$153.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.52 / $221.82 / $355.45	Professional		$174.52	$221.82	$355.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $761.14 / $761.14 / $761.14	Professional		$761.14	$761.14	$761.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.73 / $128.51 / $152.99	Facility		$126.73	$128.51	$152.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.09 / $283.69 / $443.03	Professional		$183.09	$283.69	$443.03
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 $97.58 / $204.23 / $285.50	Professional		$97.58	$204.23	$285.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.40 / $195.72 / $313.87	Professional		$33.40	$195.72	$313.87
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 $171.63 / $239.80 / $445.79	Professional		$171.63	$239.80	$445.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $169.02 / $192.00 / $192.00	Professional		$169.02	$192.00	$192.00