Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $56.23 / $64.57	Facility		$52.48	$56.23	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $64.57 / $107.15	Professional		$51.29	$64.57	$107.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $93.33	Facility		$79.43	$79.43	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $79.43	Professional		$58.88	$58.88	$79.43
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $61.66	Facility		$42.66	$42.66	$61.66
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $75.86 / $125.89	Professional		$27.54	$75.86	$125.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $45.71 / $56.23	Professional		$29.51	$45.71	$56.23
United Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $64.57 / $97.72	Facility		$47.86	$64.57	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $61.66 / $89.13	Professional		$47.86	$61.66	$89.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $125.89	Professional		$45.71	$45.71	$125.89