Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $79.43 / $245.47	Facility		$36.31	$79.43	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $114.82 / $288.40	Professional		$61.66	$114.82	$288.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $97.72 / $162.18	Professional		$79.43	$97.72	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $309.03 / $457.09	Facility		$162.18	$309.03	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $154.88 / $288.40	Professional		$85.11	$154.88	$288.40
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $154.88 / $162.18	Facility		$134.90	$154.88	$162.18
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $131.83 / $204.17	Professional		$81.28	$131.83	$204.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $58.88 / $131.83	Professional		$28.84	$58.88	$131.83
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $120.23 / $213.80	Facility		$50.12	$120.23	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $134.90 / $229.09	Professional		$102.33	$134.90	$229.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18