Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $603.71 / $3,401.00 / $11,576.00	Facility		$603.71	$3,401.00	$11,576.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $452.78 / $452.78 / $506.82	Facility	54	$452.78	$452.78	$506.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $603.71 / $699.91 / $1,132.06	Professional		$603.71	$699.91	$1,132.06
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $90.56 / $105.20 / $159.32	Professional	55	$90.56	$105.20	$159.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $412.62 / $825.24 / $1,315.09	Professional		$412.62	$825.24	$1,315.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $2,087.55 / $2,485.17	Facility		$323.00	$2,087.55	$2,485.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $591.63 / $878.04 / $1,488.09	Professional		$591.63	$878.04	$1,488.09
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $5,790.00 / $12,742.00 / $23,031.00	Facility		$5,790.00	$12,742.00	$23,031.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $292.60 / $561.58 / $916.96	Professional		$292.60	$561.58	$916.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.30 / $567.92 / $1,064.75	Professional		$75.30	$567.92	$1,064.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,681.00 / $5,811.00 / $10,057.00	Facility		$1,681.00	$5,811.00	$10,057.00
United Facility/Professional Professional Modifier Low / Median / High Price $523.07 / $719.84 / $1,230.76	Professional		$523.07	$719.84	$1,230.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $620.44 / $620.44 / $620.44	Professional		$620.44	$620.44	$620.44