Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $263.03 / $512.86	Facility		$89.13	$263.03	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $112.20 / $190.55	Professional		$87.10	$112.20	$190.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $67.61 / $109.65	Professional		$63.10	$67.61	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $173.78 / $229.09	Facility		$61.66	$173.78	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $154.88 / $251.19	Professional		$95.50	$154.88	$251.19
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $131.83 / $204.17	Facility		$69.18	$131.83	$204.17
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $58.88 / $91.20	Professional		$54.95	$58.88	$91.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $100.00 / $165.96	Professional		$77.62	$100.00	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $87.10 / $123.03	Facility		$48.98	$87.10	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $134.90 / $245.47	Professional		$100.00	$134.90	$245.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $97.72 / $97.72	Professional		$79.43	$97.72	$97.72