Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $147.91 / $316.23	Facility		$31.62	$147.91	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $54.95 / $89.13	Professional		$47.86	$54.95	$89.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $44.67 / $44.67	Professional		$38.90	$44.67	$44.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $79.43 / $165.96	Facility		$44.67	$79.43	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $51.29 / $123.03	Professional		$42.66	$51.29	$123.03
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $89.13	Professional		$38.90	$38.90	$89.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $30.90 / $42.66	Professional		$7.76	$30.90	$42.66
United Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $48.98 / $79.43	Facility		$26.92	$48.98	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $38.02 / $87.10	Professional		$26.92	$38.02	$87.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $64.57	Professional		$38.90	$38.90	$64.57