Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $82.62 / $149.05	Facility		$30.00	$82.62	$149.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.05 / $33.95 / $35.84	Professional		$31.05	$33.95	$35.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.64 / $22.64 / $25.15	Professional		$22.64	$22.64	$25.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.54 / $40.51 / $96.98	Facility		$25.54	$40.51	$96.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $42.69 / $57.30	Professional		$20.00	$42.69	$57.30
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $3.18 / $17.71 / $28.55	Facility		$3.18	$17.71	$28.55
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $14.96 / $22.64 / $52.70	Professional		$14.96	$22.64	$52.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.94 / $3.23 / $4.03	Professional		$2.94	$3.23	$4.03
United Facility/Professional Facility Modifier Low / Median / High Price $19.23 / $22.64 / $33.96	Facility		$19.23	$22.64	$33.96
United Facility/Professional Professional Modifier Low / Median / High Price $15.09 / $22.13 / $52.70	Professional		$15.09	$22.13	$52.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3.67 / $3.67 / $19.54	Professional		$3.67	$3.67	$19.54