Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $682.66 / $5,797.00 / $11,624.00	Facility		$682.66	$5,797.00	$11,624.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $458.06 / $458.06 / $512.00	Facility	54	$458.06	$458.06	$512.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $610.75 / $721.88 / $1,216.85	Professional		$610.75	$721.88	$1,216.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $740.57 / $740.57 / $1,329.06	Professional		$740.57	$740.57	$1,329.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $611.00 / $1,210.38 / $1,440.93	Facility		$611.00	$1,210.38	$1,440.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $599.13 / $879.74 / $1,566.44	Professional		$599.13	$879.74	$1,566.44
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $3,105.00 / $5,731.00 / $11,037.00	Facility		$3,105.00	$5,731.00	$11,037.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $310.29 / $567.36 / $926.32	Professional		$310.29	$567.36	$926.32
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 $542.15 / $742.93 / $1,350.93	Professional		$542.15	$742.93	$1,350.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $626.57 / $626.57 / $626.57	Professional		$626.57	$626.57	$626.57