Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.97 / $2,815.00 / $10,632.00	Facility		$165.97	$2,815.00	$10,632.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $117.16 / $124.48 / $139.77	Facility	54	$117.16	$124.48	$139.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.38 / $198.86 / $302.52	Professional		$160.38	$198.86	$302.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.62 / $199.11 / $331.25	Professional		$90.62	$199.11	$331.25
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 $164.52 / $254.57 / $403.63	Professional		$164.52	$254.57	$403.63
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 $89.59 / $187.51 / $253.15	Professional		$89.59	$187.51	$253.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.21 / $162.14 / $260.84	Professional		$33.21	$162.14	$260.84
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 $151.02 / $215.74 / $382.59	Professional		$151.02	$215.74	$382.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $153.19 / $169.02 / $169.02	Professional		$153.19	$169.02	$169.02