Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $734.00 / $6,024.00 / $12,444.00	Facility		$734.00	$6,024.00	$12,444.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $375.32 / $525.29 / $549.54	Facility	54	$375.32	$525.29	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $617.51 / $793.48 / $1,203.00	Professional		$617.51	$793.48	$1,203.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $525.23 / $1,007.77 / $1,571.66	Professional		$525.23	$1,007.77	$1,571.66
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 $488.30 / $1,024.15 / $1,983.88	Professional		$488.30	$1,024.15	$1,983.88
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $5,558.00 / $12,685.00 / $23,031.00	Facility		$5,558.00	$12,685.00	$23,031.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $412.12 / $511.00 / $1,022.00	Professional		$412.12	$511.00	$1,022.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $412.02 / $806.20	Professional		$74.36	$412.02	$806.20
United Facility/Professional Facility Modifier Low / Median / High Price $3,320.00 / $10,309.00 / $15,888.00	Facility		$3,320.00	$10,309.00	$15,888.00
United Facility/Professional Professional Modifier Low / Median / High Price $703.13 / $968.37 / $1,667.01	Professional		$703.13	$968.37	$1,667.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $511.83 / $511.83 / $511.83	Professional		$511.83	$511.83	$511.83