Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $81.28 / $323.59	Professional		$58.88	$81.28	$323.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $79.43 / $144.54	Professional		$14.13	$79.43	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $77.62 / $162.18	Professional		$42.66	$77.62	$162.18
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $104.71 / $186.21	Professional		$77.62	$104.71	$186.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $33.11 / $83.18	Professional		$13.80	$33.11	$83.18
United Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $74.13	Facility		$33.11	$33.11	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $63.10 / $213.80	Professional		$41.69	$63.10	$213.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $63.10 / $63.10	Professional		$28.18	$63.10	$63.10