Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.76 / $67.34 / $77.15	Facility		$60.76	$67.34	$77.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.43 / $67.34 / $128.41	Professional		$53.43	$67.34	$128.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.33 / $110.00 / $131.99	Professional		$95.33	$110.00	$131.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.85 / $88.85 / $88.85	Facility		$88.85	$88.85	$88.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.86 / $64.86 / $88.85	Professional		$64.86	$64.86	$88.85
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $50.68 / $90.06 / $90.06	Facility		$50.68	$90.06	$90.06
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $69.89 / $90.50 / $146.66	Professional		$69.89	$90.50	$146.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.13 / $84.83 / $93.31	Professional		$55.13	$84.83	$93.31
United Facility/Professional Professional Modifier Low / Median / High Price $50.26 / $69.62 / $79.41	Professional		$50.26	$69.62	$79.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $84.83 / $84.83 / $84.83	Professional		$84.83	$84.83	$84.83