Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.80 / $2,223.00 / $10,086.00	Facility		$247.80	$2,223.00	$10,086.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $530.91 / $924.32 / $970.34	Facility	50	$530.91	$924.32	$970.34
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $172.95 / $185.85 / $205.66	Facility	54	$172.95	$185.85	$205.66
Aetna Facility/Professional Facility Modifier 55 Low / Median / High Price $34.59 / $37.17 / $41.13	Facility	55	$34.59	$37.17	$41.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.08 / $322.52 / $554.19	Professional		$242.08	$322.52	$554.19
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $436.08 / $816.74 / $2,346.00	Professional	50	$436.08	$816.74	$2,346.00
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $172.95 / $225.92 / $374.51	Professional	54	$172.95	$225.92	$374.51
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $34.59 / $45.08 / $64.72	Professional	55	$34.59	$45.08	$64.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $251.98 / $297.38 / $483.80	Professional		$251.98	$297.38	$483.80
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $414.68 / $414.68 / $544.07	Professional	50	$414.68	$414.68	$544.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $289.50 / $303.26 / $12,450.00	Facility		$289.50	$303.26	$12,450.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.78 / $347.47 / $629.30	Professional		$228.78	$347.47	$629.30
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 $133.56 / $225.45 / $372.09	Professional		$133.56	$225.45	$372.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.56 / $212.93 / $394.62	Professional		$36.56	$212.93	$394.62
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 $220.51 / $310.52 / $539.33	Professional		$220.51	$310.52	$539.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $235.92 / $252.52 / $252.52	Professional		$235.92	$252.52	$252.52