Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $77.62	Professional		$19.05	$19.05	$77.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $12.30 / $12.30	Professional		$7.08	$12.30	$12.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $23.99 / $43.65	Professional		$12.59	$23.99	$43.65
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $95.50 / $147.91	Facility		$50.12	$95.50	$147.91
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $19.95 / $19.95	Professional		$13.80	$19.95	$19.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $13.18 / $18.20	Professional		$3.31	$13.18	$18.20
United Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $10.72 / $19.95	Facility		$7.94	$10.72	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $10.23 / $25.70	Professional		$8.51	$10.23	$25.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $21.38	Professional		$16.60	$16.60	$21.38