Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $223.87 / $457.09	Facility		$25.12	$223.87	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $28.84 / $53.70	Professional		$15.85	$28.84	$53.70
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $3.55 / $3.55 / $83.18	Professional	50	$3.55	$3.55	$83.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $28.84 / $70.79	Professional		$26.30	$28.84	$70.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $34.67	Facility		$30.90	$30.90	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $33.88 / $72.44	Professional		$18.20	$33.88	$72.44
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 $19.95 / $26.92 / $63.10	Professional		$19.95	$26.92	$63.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $32.36 / $39.81	Professional		$13.80	$32.36	$39.81
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 $16.60 / $31.62 / $58.88	Professional		$16.60	$31.62	$58.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $22.39 / $29.51	Professional		$13.80	$22.39	$29.51