Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $173.78 / $199.53	Facility		$162.18	$173.78	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $213.80 / $676.08	Professional		$158.49	$213.80	$676.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $288.40 / $309.03	Professional		$239.88	$288.40	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $288.40	Facility		$208.93	$208.93	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $208.93	Professional		$154.88	$154.88	$208.93
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $162.18	Facility		$114.82	$114.82	$162.18
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $234.42 / $389.05	Professional		$85.11	$234.42	$389.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $181.97 / $223.87	Professional		$117.49	$181.97	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $169.82 / $302.00	Facility		$128.82	$169.82	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $186.21 / $239.88	Professional		$147.91	$186.21	$239.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $389.05	Professional		$181.97	$181.97	$389.05