Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $812.83 / $2,630.27	Facility		$123.03	$812.83	$2,630.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $169.82 / $302.00	Professional		$120.23	$169.82	$302.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $251.19 / $457.09	Professional		$213.80	$251.19	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $173.78 / $512.86	Facility		$128.82	$173.78	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $218.78 / $354.81	Professional		$131.83	$218.78	$354.81
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $147.91 / $234.42	Facility		$77.62	$147.91	$234.42
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $208.93 / $281.84	Professional		$91.20	$208.93	$281.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $120.23 / $199.53	Professional		$32.36	$120.23	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $208.93 / $467.74	Facility		$57.54	$208.93	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $186.21 / $338.84	Professional		$131.83	$186.21	$338.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $295.12	Professional		$134.90	$134.90	$295.12