Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $131.83 / $213.80	Facility		$81.28	$131.83	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $141.25 / $316.23	Professional		$85.11	$141.25	$316.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $131.83 / $186.21	Professional		$109.65	$131.83	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $151.36 / $162.18	Facility		$85.11	$151.36	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $138.04 / $257.04	Professional		$95.50	$138.04	$257.04
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $114.82 / $162.18	Professional		$58.88	$114.82	$162.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $112.20 / $194.98	Professional		$33.11	$112.20	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $97.72 / $151.36	Facility		$70.79	$97.72	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $114.82 / $199.53	Professional		$79.43	$114.82	$199.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $102.33 / $138.04	Professional		$74.13	$102.33	$138.04