Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.14 / $59.47 / $335.42	Facility		$33.14	$59.47	$335.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.79 / $38.79 / $57.06	Professional		$32.79	$38.79	$57.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.17 / $31.47 / $37.92	Professional		$26.17	$31.47	$37.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.11 / $45.11 / $45.11	Facility		$45.11	$45.11	$45.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.63 / $46.73 / $80.41	Professional		$27.63	$46.73	$80.41
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $42.45 / $42.45 / $42.45	Facility		$42.45	$42.45	$42.45
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $28.04 / $42.45 / $57.03	Professional		$28.04	$42.45	$57.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.32 / $34.26 / $58.74	Professional		$24.32	$34.26	$58.74
United Facility/Professional Facility Modifier Low / Median / High Price $37.38 / $74.75 / $210.24	Facility		$37.38	$74.75	$210.24
United Facility/Professional Professional Modifier Low / Median / High Price $26.36 / $33.53 / $75.33	Professional		$26.36	$33.53	$75.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.13 / $33.13 / $33.13	Professional		$33.13	$33.13	$33.13