Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $229.09 / $269.15	Professional		$165.96	$229.09	$269.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $281.84 / $295.12	Professional		$208.93	$281.84	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $269.15 / $302.00	Professional		$229.09	$269.15	$302.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $346.74 / $407.38	Professional		$91.20	$346.74	$407.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $239.88 / $263.03	Professional		$158.49	$239.88	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $144.54 / $263.03	Facility		$17.38	$144.54	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $190.55 / $295.12	Professional		$147.91	$190.55	$295.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12