Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.54 / $276.54 / $316.83	Facility		$249.54	$276.54	$316.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.53 / $297.14 / $524.09	Professional		$249.53	$297.14	$524.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $391.48 / $430.61 / $451.71	Professional		$391.48	$430.61	$451.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $372.88 / $372.88 / $372.88	Facility		$372.88	$372.88	$372.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.20 / $272.20 / $372.88	Professional		$272.20	$272.20	$372.88
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $208.67 / $281.70 / $369.86	Facility		$208.67	$281.70	$369.86
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $287.06 / $372.50 / $602.28	Professional		$287.06	$372.50	$602.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $182.66 / $281.02 / $309.12	Professional		$182.66	$281.02	$309.12
United Facility/Professional Professional Modifier Low / Median / High Price $252.38 / $294.20 / $398.76	Professional		$252.38	$294.20	$398.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $281.02 / $281.02 / $333.79	Professional		$281.02	$281.02	$333.79