Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.42 / $5,839.00 / $12,514.00	Facility		$724.42	$5,839.00	$12,514.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $504.47 / $504.47 / $562.49	Facility	54	$504.47	$504.47	$562.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $672.63 / $856.28 / $1,464.37	Professional		$672.63	$856.28	$1,464.37
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $100.89 / $128.44 / $175.58	Professional	55	$100.89	$128.44	$175.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $816.93 / $833.27 / $1,456.31	Professional		$816.93	$833.27	$1,456.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $825.00 / $1,210.38 / $12,450.00	Facility		$825.00	$1,210.38	$12,450.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $664.22 / $1,039.81 / $1,871.84	Professional		$664.22	$1,039.81	$1,871.84
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 $378.45 / $630.75 / $1,027.36	Professional		$378.45	$630.75	$1,027.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.49 / $668.13 / $1,188.53	Professional		$75.49	$668.13	$1,188.53
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 $639.72 / $859.44 / $1,515.92	Professional		$639.72	$859.44	$1,515.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $682.23 / $682.23 / $682.23	Professional		$682.23	$682.23	$682.23