Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $502.63 / $3,241.00 / $10,802.00	Facility		$502.63	$3,241.00	$10,802.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $334.93 / $386.72 / $430.16	Facility	54	$334.93	$386.72	$430.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.57 / $589.10 / $965.43	Professional		$446.57	$589.10	$965.43
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $334.93 / $447.81 / $669.62	Professional	54	$334.93	$447.81	$669.62
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $66.98 / $89.56 / $133.91	Professional	55	$66.98	$89.56	$133.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $591.46 / $591.46 / $591.46	Professional		$591.46	$591.46	$591.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $494.37 / $588.53	Facility		$323.00	$494.37	$588.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $468.50 / $710.25 / $1,301.03	Professional		$468.50	$710.25	$1,301.03
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,881.00 / $6,066.00	Facility		$1,735.00	$2,881.00	$6,066.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $275.06 / $476.78 / $778.25	Professional		$275.06	$476.78	$778.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.30 / $483.29 / $913.26	Professional		$75.30	$483.29	$913.26
United Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,611.00 / $8,105.00	Facility		$803.00	$3,611.00	$8,105.00
United Facility/Professional Professional Modifier Low / Median / High Price $459.03 / $640.25 / $1,141.43	Professional		$459.03	$640.25	$1,141.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $458.82 / $526.48 / $526.48	Professional		$458.82	$526.48	$526.48