Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.20 / $94.18 / $204.06	Facility		$31.20	$94.18	$204.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $27.75 / $40.99	Professional		$22.81	$27.75	$40.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $21.05 / $21.05	Professional		$21.05	$21.05	$21.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.26 / $39.56 / $132.52	Facility		$28.26	$39.56	$132.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $35.31 / $69.98	Professional		$21.27	$35.31	$69.98
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $21.37 / $21.37 / $30.85	Facility		$21.37	$21.37	$30.85
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $21.05 / $41.28	Professional		$21.05	$21.05	$41.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.63 / $18.52 / $40.86	Professional		$4.63	$18.52	$40.86
United Facility/Professional Facility Modifier Low / Median / High Price $31.58 / $31.58 / $52.64	Facility		$31.58	$31.58	$52.64
United Facility/Professional Professional Modifier Low / Median / High Price $14.23 / $17.93 / $62.91	Professional		$14.23	$17.93	$62.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $21.05 / $21.05	Professional		$21.05	$21.05	$21.05