Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $3,388.44 / $10,715.19	Facility		$645.65	$3,388.44	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $169.82 / $263.03	Professional		$107.15	$169.82	$263.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $323.59	Facility		$281.84	$281.84	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $204.17 / $257.04	Professional		$97.72	$204.17	$257.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $446.68	Professional		$32.36	$33.11	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $1,778.28 / $4,168.69	Facility		$346.74	$1,778.28	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $213.80 / $398.11	Professional		$120.23	$213.80	$398.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $158.49 / $257.04	Professional		$154.88	$158.49	$257.04