Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.20 / $49.20 / $56.58	Facility		$49.20	$49.20	$56.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.20 / $66.77 / $136.78	Professional		$49.20	$66.77	$136.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.20 / $70.23 / $100.00	Professional		$52.20	$70.23	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.12 / $86.12 / $86.12	Facility		$86.12	$86.12	$86.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.51 / $63.51 / $63.51	Professional		$63.51	$63.51	$63.51
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $99.67 / $99.67 / $114.77	Facility		$99.67	$99.67	$114.77
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $58.03 / $117.79 / $151.61	Professional		$58.03	$117.79	$151.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.68 / $27.35 / $50.00	Professional		$20.68	$27.35	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $100.01 / $160.11 / $291.39	Professional		$100.01	$160.11	$291.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.91 / $23.91 / $23.91	Professional		$23.91	$23.91	$23.91