Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.54 / $265.00 / $865.24	Facility		$180.54	$265.00	$865.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.02 / $185.70 / $272.54	Professional		$151.02	$185.70	$272.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.35 / $125.35 / $125.35	Professional		$125.35	$125.35	$125.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.57 / $208.00 / $786.16	Facility		$148.57	$208.00	$786.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.76 / $217.33 / $416.66	Professional		$109.76	$217.33	$416.66
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $125.35 / $125.35 / $187.85	Professional		$125.35	$125.35	$187.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.75 / $60.40 / $358.22	Professional		$58.75	$60.40	$358.22
United Facility/Professional Facility Modifier Low / Median / High Price $208.92 / $208.92 / $208.92	Facility		$208.92	$208.92	$208.92
United Facility/Professional Professional Modifier Low / Median / High Price $87.75 / $119.71 / $427.53	Professional		$87.75	$119.71	$427.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $208.92 / $208.92 / $208.92	Professional		$208.92	$208.92	$208.92