Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.00 / $47.06 / $114.94	Facility		$27.00	$47.06	$114.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.64 / $12.55 / $28.35	Professional		$11.64	$12.55	$28.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.14 / $23.14 / $23.14	Professional		$23.14	$23.14	$23.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.59 / $17.50 / $114.39	Facility		$9.59	$17.50	$114.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.26 / $19.30 / $58.85	Professional		$9.26	$19.30	$58.85
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $16.87 / $23.14 / $45.05	Professional		$16.87	$23.14	$45.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $4.28 / $5.88	Professional		$1.07	$4.28	$5.88
United Facility/Professional Facility Modifier Low / Median / High Price $57.86 / $57.86 / $57.86	Facility		$57.86	$57.86	$57.86
United Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $13.50 / $27.00	Professional		$8.11	$13.50	$27.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.35 / $5.35 / $19.98	Professional		$5.35	$5.35	$19.98