Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.58 / $133.55 / $246.77	Facility		$101.58	$133.55	$246.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.34 / $133.00 / $228.74	Professional		$98.34	$133.00	$228.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $167.55 / $217.29	Professional		$150.00	$167.55	$217.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.28 / $163.28 / $163.28	Facility		$163.28	$163.28	$163.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.29 / $170.92 / $295.76	Professional		$111.29	$170.92	$295.76
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $61.56 / $129.35 / $180.50	Professional		$61.56	$129.35	$180.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.23 / $154.29 / $216.36	Professional		$102.23	$154.29	$216.36
United Facility/Professional Professional Modifier Low / Median / High Price $115.72 / $157.26 / $271.33	Professional		$115.72	$157.26	$271.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $92.94 / $124.60 / $134.72	Professional		$92.94	$124.60	$134.72