Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.70 / $185.70 / $185.70	Facility		$185.70	$185.70	$185.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.82 / $277.83 / $407.30	Professional		$193.82	$277.83	$407.30
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $96.91 / $137.94 / $179.94	Professional	52	$96.91	$137.94	$179.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $252.56 / $278.08 / $465.64	Professional		$252.56	$278.08	$465.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $333.08 / $333.08 / $683.47	Facility		$333.08	$333.08	$683.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.13 / $312.55 / $526.03	Professional		$227.13	$312.55	$526.03
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $103.02 / $220.76 / $339.22	Professional		$103.02	$220.76	$339.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $246.75 / $317.81 / $471.40	Professional		$246.75	$317.81	$471.40
United Facility/Professional Professional Modifier Low / Median / High Price $179.25 / $237.73 / $396.55	Professional		$179.25	$237.73	$396.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $224.32 / $224.32 / $292.93	Professional		$224.32	$224.32	$292.93