Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $79.43 / $758.58	Facility		$38.90	$79.43	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $87.10 / $169.82	Professional		$70.79	$87.10	$169.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $120.23 / $138.04	Professional		$104.71	$120.23	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $141.25	Facility		$114.82	$114.82	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $114.82	Professional		$85.11	$85.11	$114.82
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $85.11	Facility		$60.26	$60.26	$85.11
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $104.71 / $173.78	Professional		$38.90	$104.71	$173.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $46.77 / $57.54	Professional		$30.20	$46.77	$57.54
United Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $70.79 / $138.04	Facility		$54.95	$70.79	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $83.18 / $102.33	Professional		$64.57	$83.18	$102.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $173.78	Professional		$46.77	$46.77	$173.78