Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $229.09 / $275.42	Facility		$213.80	$229.09	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $239.88 / $346.74	Professional		$165.96	$239.88	$346.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $302.00 / $416.87	Professional		$275.42	$302.00	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $371.54	Facility		$302.00	$302.00	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $302.00	Professional		$218.78	$218.78	$302.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $190.55 / $389.05	Professional		$117.49	$190.55	$389.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $229.09 / $281.84	Professional		$169.82	$229.09	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $223.87 / $346.74	Facility		$173.78	$223.87	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $245.47 / $346.74	Professional		$173.78	$245.47	$346.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $281.84 / $316.23	Professional		$269.15	$281.84	$316.23