Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $81.28 / $165.96	Facility		$66.07	$81.28	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $66.07 / $117.49	Professional		$58.88	$66.07	$117.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $60.26 / $69.18	Professional		$48.98	$60.26	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $89.13	Professional		$39.81	$39.81	$89.13
United Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $251.19	Facility		$186.21	$186.21	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $79.43	Professional		$64.57	$64.57	$79.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66