Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.00 / $88.18 / $318.35	Facility		$82.00	$88.18	$318.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.30 / $98.18 / $168.17	Professional		$76.30	$98.18	$168.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.02 / $124.83 / $144.04	Professional		$72.02	$124.83	$144.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.63 / $106.63 / $121.71	Facility		$106.63	$106.63	$121.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.84 / $77.84 / $120.92	Professional		$77.84	$77.84	$120.92
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $71.87 / $117.93 / $117.93	Facility		$71.87	$117.93	$117.93
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $102.67 / $128.34 / $192.05	Professional		$102.67	$128.34	$192.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.68 / $114.90 / $126.39	Professional		$74.68	$114.90	$126.39
United Facility/Professional Professional Modifier Low / Median / High Price $76.95 / $93.82 / $122.14	Professional		$76.95	$93.82	$122.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $114.90 / $114.90 / $114.90	Professional		$114.90	$114.90	$114.90