Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $263.03 / $1,288.25	Facility		$33.88	$263.03	$1,288.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $45.71 / $93.33	Professional		$26.92	$45.71	$93.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $48.98 / $112.20	Professional		$23.99	$48.98	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $48.98	Facility		$34.67	$34.67	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $45.71 / $75.86	Professional		$28.18	$45.71	$75.86
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,862.09 / $3,162.28	Facility		$1,258.93	$1,862.09	$3,162.28
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $36.31 / $53.70	Professional		$21.38	$36.31	$53.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $33.11 / $58.88	Professional		$22.39	$33.11	$58.88
United Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $1,548.82 / $4,168.69	Facility		$263.03	$1,548.82	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $36.31 / $66.07	Professional		$23.99	$36.31	$66.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $33.11 / $46.77	Professional		$22.39	$33.11	$46.77