Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.05 / $234.26 / $592.00	Facility		$23.05	$234.26	$592.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.04 / $28.05 / $44.30	Professional		$20.04	$28.05	$44.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.46 / $20.46 / $20.46	Professional		$20.46	$20.46	$20.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.17 / $99.23 / $163.37	Facility		$25.17	$99.23	$163.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.76 / $30.13 / $57.60	Professional		$20.76	$30.13	$57.60
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $66.34 / $106.33	Facility		$27.54	$66.34	$106.33
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $20.46 / $30.08 / $40.04	Professional		$20.46	$30.08	$40.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.10 / $33.21 / $55.11	Professional		$13.10	$33.21	$55.11
United Facility/Professional Facility Modifier Low / Median / High Price $179.57 / $179.57 / $404.03	Facility		$179.57	$179.57	$404.03
United Facility/Professional Professional Modifier Low / Median / High Price $21.36 / $25.66 / $50.86	Professional		$21.36	$25.66	$50.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.77 / $15.77 / $15.77	Professional		$15.77	$15.77	$15.77