Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.27 / $72.34 / $82.89	Facility		$67.27	$72.34	$82.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.60 / $72.34 / $117.27	Professional		$62.60	$72.34	$117.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.66 / $112.66 / $141.80	Professional		$112.66	$112.66	$141.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.25 / $99.25 / $99.25	Facility		$99.25	$99.25	$99.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.45 / $72.45 / $91.18	Professional		$72.45	$72.45	$91.18
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $54.60 / $104.90 / $104.90	Facility		$54.60	$104.90	$104.90
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $75.09 / $104.90 / $157.55	Professional		$75.09	$104.90	$157.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.73 / $78.06 / $85.86	Professional		$50.73	$78.06	$85.86
United Facility/Professional Facility Modifier Low / Median / High Price $47.16 / $82.54 / $83.28	Facility		$47.16	$82.54	$83.28
United Facility/Professional Professional Modifier Low / Median / High Price $62.46 / $78.61 / $94.11	Professional		$62.46	$78.61	$94.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $78.06 / $78.06 / $78.06	Professional		$78.06	$78.06	$78.06