Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.05 / $149.54 / $171.33	Facility		$139.05	$149.54	$171.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.05 / $171.33 / $242.40	Professional		$139.05	$171.33	$242.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $211.70 / $244.27 / $293.12	Professional		$211.70	$244.27	$293.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.51 / $203.51 / $203.51	Facility		$203.51	$203.51	$203.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.56 / $148.56 / $206.15	Professional		$148.56	$148.56	$206.15
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $112.84 / $216.83 / $216.83	Facility		$112.84	$216.83	$216.83
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $155.22 / $216.83 / $325.69	Professional		$155.22	$216.83	$325.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.41 / $114.49 / $125.93	Professional		$74.41	$114.49	$125.93
United Facility/Professional Professional Modifier Low / Median / High Price $139.86 / $162.47 / $244.81	Professional		$139.86	$162.47	$244.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $114.49 / $114.49 / $197.15	Professional		$114.49	$114.49	$197.15