Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.14 / $374.96 / $2,031.00	Facility		$63.14	$374.96	$2,031.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.40 / $67.40 / $106.99	Professional		$43.40	$67.40	$106.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.41 / $84.37 / $197.95	Professional		$47.41	$84.37	$197.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.91 / $64.81 / $77.15	Facility		$63.91	$64.81	$77.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.21 / $83.74 / $139.35	Professional		$50.21	$83.74	$139.35
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,146.00 / $1,735.00 / $3,029.00	Facility		$1,146.00	$1,735.00	$3,029.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $69.72 / $99.86	Professional		$32.36	$69.72	$99.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.59 / $106.60 / $161.04	Professional		$73.59	$106.60	$161.04
United Facility/Professional Facility Modifier Low / Median / High Price $366.00 / $1,950.00 / $5,107.00	Facility		$366.00	$1,950.00	$5,107.00
United Facility/Professional Professional Modifier Low / Median / High Price $59.79 / $81.70 / $153.74	Professional		$59.79	$81.70	$153.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $72.26 / $72.26	Professional		$41.11	$72.26	$72.26