Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.70 / $79.43	Professional		$19.95	$25.70	$79.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $22.91 / $34.67	Professional		$20.42	$22.91	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $40.74 / $151.36	Professional		$28.84	$40.74	$151.36
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $19.50 / $30.90	Professional		$11.22	$19.50	$30.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $34.67	Professional		$32.36	$33.11	$34.67
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $25.70 / $43.65	Professional		$17.78	$25.70	$43.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $24.55	Professional		$20.42	$20.42	$24.55