Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.09 / $64.00 / $122.25	Facility		$58.09	$64.00	$122.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.93 / $75.20 / $139.41	Professional		$56.93	$75.20	$139.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $78.54 / $93.40 / $172.35	Professional		$78.54	$93.40	$172.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.96 / $91.96 / $91.96	Facility		$91.96	$91.96	$91.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.87 / $91.20 / $147.63	Professional		$64.87	$91.20	$147.63
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $54.98 / $60.91 / $84.05	Professional		$54.98	$60.91	$84.05
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 $54.18 / $77.12 / $136.69	Professional		$54.18	$77.12	$136.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.79 / $61.79 / $61.79	Professional		$61.79	$61.79	$61.79