Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $47.86 / $162.18	Facility		$29.51	$47.86	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $45.71 / $57.54	Professional		$28.84	$45.71	$57.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $39.81 / $117.49	Professional		$33.88	$39.81	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $48.98	Facility		$39.81	$39.81	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $39.81	Professional		$33.88	$33.88	$39.81
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $39.81 / $67.61	Professional		$14.79	$39.81	$67.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $56.23 / $89.13	Professional		$33.88	$56.23	$89.13
United Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $28.18 / $42.66	Facility		$20.89	$28.18	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $32.36 / $39.81	Professional		$23.44	$32.36	$39.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $67.61	Professional		$56.23	$56.23	$67.61