Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.54 / $2,747.00 / $10,632.00	Facility		$103.54	$2,747.00	$10,632.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $67.31 / $77.66 / $80.50	Facility	54	$67.31	$77.66	$80.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.45 / $119.07 / $188.22	Professional		$97.45	$119.07	$188.22
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $73.09 / $89.30 / $120.60	Professional	54	$73.09	$89.30	$120.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.54 / $120.17 / $169.28	Professional		$33.54	$120.17	$169.28
Ambetter Facility/Professional Professional Modifier 54 Low / Median / High Price $117.39 / $117.39 / $316.61	Professional	54	$117.39	$117.39	$316.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.84 / $79.95 / $95.19	Facility		$78.84	$79.95	$95.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.37 / $147.90 / $235.41	Professional		$97.37	$147.90	$235.41
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 $49.72 / $104.07 / $134.15	Professional		$49.72	$104.07	$134.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.18 / $77.30 / $142.48	Professional		$30.18	$77.30	$142.48
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 $86.67 / $119.79 / $211.83	Professional		$86.67	$119.79	$211.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $97.02 / $97.02 / $107.74	Professional		$97.02	$97.02	$107.74