Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.08 / $64.00 / $97.03	Facility		$58.08	$64.00	$97.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.34 / $76.69 / $164.58	Professional		$57.34	$76.69	$164.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.06 / $91.46 / $161.83	Professional		$77.06	$91.46	$161.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.96 / $89.96 / $89.96	Facility		$89.96	$89.96	$89.96
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $8.72 / $8.72 / $8.72	Facility	AS	$8.72	$8.72	$8.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.11 / $89.18 / $146.22	Professional		$63.11	$89.18	$146.22
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $53.94 / $58.24 / $82.31	Professional		$53.94	$58.24	$82.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.57 / $106.67 / $200.93	Professional		$77.57	$106.67	$200.93
United Facility/Professional Professional Modifier Low / Median / High Price $51.97 / $75.30 / $134.57	Professional		$51.97	$75.30	$134.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26