Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.06 / $89.83 / $102.92	Facility		$81.06	$89.83	$102.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.73 / $94.56 / $171.31	Professional		$77.73	$94.56	$171.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $146.72 / $146.72 / $146.72	Professional		$146.72	$146.72	$146.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.63 / $129.63 / $129.63	Facility		$129.63	$129.63	$129.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.64 / $94.64 / $129.63	Professional		$94.64	$94.64	$129.63
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $58.80 / $120.15 / $120.15	Facility		$58.80	$120.15	$120.15
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $89.25 / $120.15 / $195.64	Professional		$89.25	$120.15	$195.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.11 / $83.26 / $91.58	Professional		$54.11	$83.26	$91.58
United Facility/Professional Professional Modifier Low / Median / High Price $78.75 / $95.57 / $124.42	Professional		$78.75	$95.57	$124.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $83.26 / $83.26 / $104.15	Professional		$83.26	$83.26	$104.15