Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.40 / $3,036.68 / $10,632.00	Facility		$223.40	$3,036.68	$10,632.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,998.69 / $1,998.69 / $1,998.69	Facility	50	$1,998.69	$1,998.69	$1,998.69
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $131.43 / $167.55 / $183.23	Facility	54	$131.43	$167.55	$183.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.52 / $269.81 / $493.70	Professional		$183.52	$269.81	$493.70
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $341.79 / $442.29 / $742.89	Professional	50	$341.79	$442.29	$742.89
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $131.43 / $193.13 / $290.52	Professional	54	$131.43	$193.13	$290.52
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $26.29 / $38.63 / $58.10	Professional	55	$26.29	$38.63	$58.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.66 / $257.41 / $420.87	Professional		$169.66	$257.41	$420.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.70 / $180.27 / $715.00	Facility		$168.70	$180.27	$715.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.47 / $336.00 / $618.07	Professional		$196.47	$336.00	$618.07
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 $186.14 / $219.38 / $412.17	Professional		$186.14	$219.38	$412.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.91 / $247.86 / $424.30	Professional		$34.91	$247.86	$424.30
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 $226.38 / $310.23 / $545.16	Professional		$226.38	$310.23	$545.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $178.47 / $224.94 / $224.94	Professional		$178.47	$224.94	$224.94