Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $38.90 / $58.88	Professional		$16.98	$38.90	$58.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $13.49	Professional		$13.49	$13.49	$13.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $81.28	Facility		$26.30	$26.30	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.59 / $51.29	Professional		$10.00	$12.59	$51.29
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $35.48 / $53.70	Professional		$21.88	$35.48	$53.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $38.02 / $50.12	Professional		$32.36	$38.02	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $27.54 / $44.67	Facility		$11.22	$27.54	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $33.11 / $60.26	Professional		$27.54	$33.11	$60.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $109.65 / $109.65	Professional		$21.88	$109.65	$109.65