Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $125.89 / $239.88	Facility		$66.07	$125.89	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $138.04 / $316.23	Professional		$81.28	$138.04	$316.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $123.03 / $177.83	Professional		$97.72	$123.03	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $144.54 / $147.91	Facility		$77.62	$144.54	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $128.82 / $239.88	Professional		$89.13	$128.82	$239.88
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $104.71 / $151.36	Professional		$52.48	$104.71	$151.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $109.65 / $181.97	Professional		$56.23	$109.65	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $89.13 / $141.25	Facility		$63.10	$89.13	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $107.15 / $186.21	Professional		$74.13	$107.15	$186.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $95.50 / $128.82	Professional		$70.79	$95.50	$128.82