Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.77 / $153.77 / $153.77	Facility		$153.77	$153.77	$153.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.56 / $195.05 / $240.37	Professional		$139.56	$195.05	$240.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $402.06 / $402.06 / $422.16	Professional		$402.06	$402.06	$422.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.54 / $234.54 / $580.04	Facility		$234.54	$234.54	$580.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.31 / $183.31 / $183.31	Professional		$183.31	$183.31	$183.31
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $85.97 / $188.70 / $242.33	Professional		$85.97	$188.70	$242.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $153.96 / $213.34 / $386.60	Professional		$153.96	$213.34	$386.60
United Facility/Professional Professional Modifier Low / Median / High Price $157.94 / $214.37 / $369.09	Professional		$157.94	$214.37	$369.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $170.05 / $170.05 / $170.05	Professional		$170.05	$170.05	$170.05