Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.89 / $194.43 / $444.40	Facility		$69.89	$194.43	$444.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.89 / $88.20 / $220.93	Professional		$69.89	$88.20	$220.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $103.22 / $173.70 / $203.50	Professional		$103.22	$173.70	$203.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.09 / $165.55 / $194.77	Facility		$92.09	$165.55	$194.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.25 / $124.07 / $189.88	Professional		$82.25	$124.07	$189.88
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $74.18 / $79.48 / $126.54	Professional		$74.18	$79.48	$126.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.31 / $106.53 / $150.45	Professional		$76.31	$106.53	$150.45
United Facility/Professional Professional Modifier Low / Median / High Price $82.32 / $104.20 / $191.38	Professional		$82.32	$104.20	$191.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.03 / $61.03 / $61.03	Professional		$61.03	$61.03	$61.03