Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.13 / $133.24 / $191.62	Professional		$121.13	$133.24	$191.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $167.63 / $167.63 / $242.77	Professional		$167.63	$167.63	$242.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.96 / $160.96 / $226.01	Facility		$160.96	$160.96	$226.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.82 / $160.96 / $211.26	Professional		$136.82	$160.96	$211.26
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $200.43 / $200.43 / $200.43	Facility		$200.43	$200.43	$200.43
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $200.43 / $295.60 / $349.05	Professional		$200.43	$295.60	$349.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $152.24 / $228.36 / $253.74	Professional		$152.24	$228.36	$253.74
United Facility/Professional Professional Modifier Low / Median / High Price $125.95 / $147.82 / $217.39	Professional		$125.95	$147.82	$217.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $253.74 / $253.74 / $253.74	Professional		$253.74	$253.74	$253.74