Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.55 / $2,747.00 / $10,632.00	Facility		$109.55	$2,747.00	$10,632.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $76.34 / $81.12 / $94.67	Facility	54	$76.34	$81.12	$94.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.76 / $132.15 / $219.60	Professional		$103.76	$132.15	$219.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $117.93 / $146.68	Professional		$59.90	$117.93	$146.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.51 / $100.91 / $120.13	Facility		$99.51	$100.91	$120.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.41 / $166.06 / $264.42	Professional		$107.41	$166.06	$264.42
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 $57.86 / $118.15 / $156.71	Professional		$57.86	$118.15	$156.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.92 / $106.60 / $180.62	Professional		$31.92	$106.60	$180.62
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 $101.82 / $143.69 / $274.51	Professional		$101.82	$143.69	$274.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $100.34 / $113.87 / $113.87	Professional		$100.34	$113.87	$113.87