Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $714.00 / $6,024.00 / $12,854.00	Facility		$714.00	$6,024.00	$12,854.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $475.78 / $475.78 / $534.61	Facility	54	$475.78	$475.78	$534.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $634.37 / $828.22 / $1,087.88	Professional		$634.37	$828.22	$1,087.88
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $95.16 / $119.70 / $161.19	Professional	55	$95.16	$119.70	$161.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $3,750.71 / $4,465.13	Facility		$323.00	$3,750.71	$4,465.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $646.48 / $1,042.94 / $1,722.01	Professional		$646.48	$1,042.94	$1,722.01
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $5,790.00 / $12,742.00 / $23,031.00	Facility		$5,790.00	$12,742.00	$23,031.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $371.53 / $607.51 / $976.44	Professional		$371.53	$607.51	$976.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.55 / $646.98 / $1,165.84	Professional		$77.55	$646.98	$1,165.84
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 $636.10 / $879.20 / $1,617.23	Professional		$636.10	$879.20	$1,617.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $699.83 / $699.83 / $699.83	Professional		$699.83	$699.83	$699.83