Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $53.70 / $302.00	Facility		$15.85	$53.70	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $30.90 / $67.61	Professional		$18.20	$30.90	$67.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $28.84 / $75.86	Professional		$17.78	$28.84	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $34.67	Facility		$33.88	$33.88	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $33.88 / $67.61	Professional		$19.05	$33.88	$67.61
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 $20.89 / $27.54 / $61.66	Professional		$20.89	$27.54	$61.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $1,584.89 / $4,168.69	Facility		$263.03	$1,584.89	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $31.62 / $57.54	Professional		$18.62	$31.62	$57.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $24.55 / $30.90	Professional		$16.22	$24.55	$30.90