Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $165.96 / $181.97	Facility		$162.18	$165.96	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $208.93 / $426.58	Professional		$181.97	$208.93	$426.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $239.88 / $281.84	Professional		$208.93	$239.88	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Facility		$331.13	$331.13	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $275.42 / $501.19	Professional		$181.97	$275.42	$501.19
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,000.00 / $1,584.89	Facility		$524.81	$1,000.00	$1,584.89
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $181.97 / $281.84	Professional		$123.03	$181.97	$281.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $173.78 / $354.81	Professional		$32.36	$173.78	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $229.09 / $426.58	Professional		$162.18	$229.09	$426.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $158.49 / $223.87	Professional		$154.88	$158.49	$223.87