Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.26 / $131.61 / $175.48	Facility		$119.26	$131.61	$175.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.42 / $152.24 / $252.17	Professional		$121.42	$152.24	$252.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $132.97 / $168.00 / $217.95	Professional		$132.97	$168.00	$217.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $157.57 / $157.57 / $157.57	Facility		$157.57	$157.57	$157.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.18 / $197.02 / $335.15	Professional		$129.18	$197.02	$335.15
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $71.00 / $99.25 / $162.38	Professional		$71.00	$99.25	$162.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.20 / $144.32 / $267.69	Professional		$104.20	$144.32	$267.69
United Facility/Professional Professional Modifier Low / Median / High Price $124.28 / $172.33 / $314.24	Professional		$124.28	$172.33	$314.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $104.94 / $104.94 / $104.94	Professional		$104.94	$104.94	$104.94