Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.25 / $93.36 / $111.40	Facility		$84.25	$93.36	$111.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.25 / $108.38 / $178.05	Professional		$84.25	$108.38	$178.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $132.16 / $132.16 / $152.51	Professional		$132.16	$132.16	$152.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.02 / $127.07 / $127.07	Facility		$106.02	$127.07	$127.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.76 / $92.76 / $127.07	Professional		$92.76	$92.76	$127.07
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $99,999.99 / $99,999.99 / $99,999.99	Facility		$99,999.99	$99,999.99	$99,999.99
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $95.48 / $159.13 / $203.34	Professional		$95.48	$159.13	$203.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.12 / $96.18 / $106.87	Professional		$64.12	$96.18	$106.87
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $101.44 / $141.12	Professional		$79.43	$101.44	$141.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $106.87 / $106.87 / $108.86	Professional		$106.87	$106.87	$108.86