Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.86 / $368.99 / $757.73	Facility		$72.86	$368.99	$757.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.86 / $84.93 / $122.78	Professional		$81.86	$84.93	$122.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.75 / $94.14 / $144.35	Professional		$76.75	$94.14	$144.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.98 / $86.98 / $268.38	Facility		$86.98	$86.98	$268.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.98 / $86.98 / $86.98	Professional		$86.98	$86.98	$86.98
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $67.76 / $70.47 / $125.52	Facility		$67.76	$70.47	$125.52
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $87.86 / $125.52 / $125.52	Professional		$87.86	$125.52	$125.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $130.92 / $170.21 / $187.23	Professional		$130.92	$170.21	$187.23
United Facility/Professional Professional Modifier Low / Median / High Price $85.27 / $85.27 / $89.53	Professional		$85.27	$85.27	$89.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $133.05 / $133.05 / $133.05	Professional		$133.05	$133.05	$133.05