Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.08 / $3,000.00 / $10,632.00	Facility		$184.08	$3,000.00	$10,632.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,061.82 / $2,044.00 / $2,393.41	Facility	50	$1,061.82	$2,044.00	$2,393.41
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $115.03 / $138.06 / $156.94	Facility	54	$115.03	$138.06	$156.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.21 / $258.56 / $402.13	Professional		$160.21	$258.56	$402.13
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $416.31 / $587.26 / $1,046.26	Professional	50	$416.31	$587.26	$1,046.26
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $115.03 / $175.50 / $293.13	Professional	54	$115.03	$175.50	$293.13
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $23.01 / $34.47 / $49.69	Professional	55	$23.01	$34.47	$49.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $187.10 / $220.80 / $394.76	Professional		$187.10	$220.80	$394.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.14 / $130.52 / $715.00	Facility		$122.14	$130.52	$715.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.94 / $301.70 / $529.48	Professional		$168.94	$301.70	$529.48
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 $141.66 / $180.47 / $333.94	Professional		$141.66	$180.47	$333.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $153.51 / $226.16 / $349.98	Professional		$153.51	$226.16	$349.98
United Facility/Professional Facility Modifier Low / Median / High Price $539.00 / $2,671.00 / $5,507.00	Facility		$539.00	$2,671.00	$5,507.00
United Facility/Professional Professional Modifier Low / Median / High Price $191.23 / $265.61 / $464.09	Professional		$191.23	$265.61	$464.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $155.49 / $185.62 / $185.62	Professional		$155.49	$185.62	$185.62