Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.33 / $229.36 / $6,905.40	Facility		$106.33	$229.36	$6,905.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.33 / $107.40 / $149.63	Professional		$106.33	$107.40	$149.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $106.33 / $111.65 / $163.25	Professional		$106.33	$111.65	$163.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.32 / $106.33 / $159.94	Facility		$100.32	$106.33	$159.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.33 / $106.33 / $106.33	Professional		$106.33	$106.33	$106.33
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $106.33 / $106.33 / $106.33	Facility		$106.33	$106.33	$106.33
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $53.17 / $106.33 / $106.33	Professional		$53.17	$106.33	$106.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.06 / $44.07 / $64.10	Professional		$40.06	$44.07	$64.10
United Facility/Professional Professional Modifier Low / Median / High Price $106.33 / $112.71 / $118.37	Professional		$106.33	$112.71	$118.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $106.33 / $136.04 / $136.04	Professional		$106.33	$136.04	$136.04