Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $3,090.30 / $8,317.64	Facility		$549.54	$3,090.30	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $138.04 / $281.84	Professional		$102.33	$138.04	$281.84
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $114.82 / $173.78 / $380.19	Professional	54	$114.82	$173.78	$380.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $125.89 / $181.97	Professional		$97.72	$125.89	$181.97
Ambetter Facility/Professional Professional Modifier 54 Low / Median / High Price $69.18 / $69.18 / $138.04	Professional	54	$69.18	$69.18	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $79.43 / $208.93	Facility		$34.67	$79.43	$208.93
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $144.54 / $144.54 / $144.54	Facility	54	$144.54	$144.54	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $147.91 / $234.42	Professional		$95.50	$147.91	$234.42
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,454.71 / $4,168.69	Facility		$1,513.56	$2,454.71	$4,168.69
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $100.00 / $134.90	Professional		$61.66	$100.00	$134.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $97.72 / $181.97	Professional		$32.36	$97.72	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $1,584.89 / $4,168.69	Facility		$269.15	$1,584.89	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $120.23 / $213.80	Professional		$87.10	$120.23	$213.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $134.90	Professional		$97.72	$97.72	$134.90