Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $457.09	Facility		$363.08	$363.08	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $131.83 / $371.54	Professional		$102.33	$131.83	$371.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $229.09	Professional		$14.13	$14.13	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $120.23 / $245.47	Professional		$67.61	$120.23	$245.47
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $173.78 / $346.74	Professional		$107.15	$173.78	$346.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $33.11 / $162.18	Professional		$26.30	$33.11	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $151.36	Facility		$64.57	$64.57	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $112.20 / $354.81	Professional		$72.44	$112.20	$354.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $120.23 / $120.23	Professional		$53.70	$120.23	$120.23