Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.53 / $71.26 / $651.78	Facility		$21.53	$71.26	$651.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.90 / $21.53 / $28.19	Professional		$20.90	$21.53	$28.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.90 / $20.90 / $21.56	Professional		$20.90	$20.90	$21.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.30 / $21.52 / $77.70	Facility		$20.30	$21.52	$77.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.52 / $21.52 / $21.52	Professional		$21.52	$21.52	$21.52
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $21.53 / $21.53 / $25.57	Facility		$21.53	$21.53	$25.57
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $11.37 / $22.74 / $22.74	Professional		$11.37	$22.74	$22.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.79 / $44.87 / $65.27	Professional		$40.79	$44.87	$65.27
United Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $22.82 / $25.50	Professional		$21.53	$22.82	$25.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $20.90 / $20.90 / $21.53	Professional		$20.90	$20.90	$21.53