Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.97 / $73.43 / $250.44	Facility		$26.97	$73.43	$250.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.03 / $59.48 / $110.96	Professional		$28.03	$59.48	$110.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.33 / $70.98 / $122.55	Professional		$60.33	$70.98	$122.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.38 / $122.60 / $142.99	Facility		$46.38	$122.60	$142.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.25 / $75.12 / $157.85	Professional		$29.25	$75.12	$157.85
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $36.03 / $72.05 / $92.00	Professional		$36.03	$72.05	$92.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.62 / $103.29 / $154.09	Professional		$40.62	$103.29	$154.09
United Facility/Professional Professional Modifier Low / Median / High Price $63.74 / $91.27 / $166.96	Professional		$63.74	$91.27	$166.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.96 / $62.81 / $62.81	Professional		$21.96	$62.81	$62.81