Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.14 / $84.81 / $301.02	Facility		$52.14	$84.81	$301.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.66 / $71.79 / $350.00	Professional		$48.66	$71.79	$350.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.71 / $41.71 / $41.71	Professional		$41.71	$41.71	$41.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.58 / $80.28 / $261.20	Facility		$48.58	$80.28	$261.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.85 / $80.12 / $118.09	Professional		$36.85	$80.12	$118.09
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $31.29 / $41.71 / $82.37	Professional		$31.29	$41.71	$82.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.71 / $41.71 / $45.88	Professional		$41.71	$41.71	$45.88
United Facility/Professional Facility Modifier Low / Median / High Price $104.28 / $104.28 / $104.28	Facility		$104.28	$104.28	$104.28
United Facility/Professional Professional Modifier Low / Median / High Price $24.33 / $29.20 / $90.48	Professional		$24.33	$29.20	$90.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $36.01 / $41.71 / $41.71	Professional		$36.01	$41.71	$41.71