Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $123.03 / $316.23	Professional		$91.20	$123.03	$316.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $97.72 / $144.54	Professional		$69.18	$97.72	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $134.90 / $251.19	Professional		$93.33	$134.90	$251.19
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $97.72 / $134.90	Professional		$52.48	$97.72	$134.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $79.43 / $158.49	Professional		$32.36	$79.43	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $112.20 / $177.83	Professional		$81.28	$112.20	$177.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $107.15	Professional		$72.44	$72.44	$107.15