Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.37 / $71.38 / $81.78	Facility		$66.37	$71.38	$81.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.37 / $79.59 / $115.71	Professional		$66.37	$79.59	$115.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.05 / $116.60 / $139.91	Professional		$101.05	$116.60	$139.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.03 / $100.03 / $100.03	Facility		$100.03	$100.03	$100.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.02 / $73.02 / $100.03	Professional		$73.02	$73.02	$100.03
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $103.50 / $103.50 / $103.50	Facility		$103.50	$103.50	$103.50
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $83.10 / $103.87 / $155.46	Professional		$83.10	$103.87	$155.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.79 / $48.92 / $53.81	Professional		$31.79	$48.92	$53.81
United Facility/Professional Professional Modifier Low / Median / High Price $66.76 / $77.56 / $103.83	Professional		$66.76	$77.56	$103.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $48.92 / $48.92 / $83.58	Professional		$48.92	$48.92	$83.58