Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.71 / $1,623.00 / $9,095.00	Facility		$179.71	$1,623.00	$9,095.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $119.36 / $132.75 / $142.58	Facility	54	$119.36	$132.75	$142.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.59 / $208.39 / $357.40	Professional		$166.59	$208.39	$357.40
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $124.94 / $155.06 / $218.60	Professional	54	$124.94	$155.06	$218.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.16 / $194.01 / $323.67	Professional		$117.16	$194.01	$323.67
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 $174.37 / $263.54 / $407.22	Professional		$174.37	$263.54	$407.22
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 $89.17 / $186.63 / $255.81	Professional		$89.17	$186.63	$255.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.40 / $180.58 / $299.14	Professional		$33.40	$180.58	$299.14
United Facility/Professional Facility Modifier Low / Median / High Price $290.54 / $1,916.00 / $5,107.00	Facility		$290.54	$1,916.00	$5,107.00
United Facility/Professional Professional Modifier Low / Median / High Price $158.13 / $222.55 / $403.06	Professional		$158.13	$222.55	$403.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $164.17 / $173.88 / $173.88	Professional		$164.17	$173.88	$173.88