Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $3,090.30 / $12,589.25	Facility		$125.89	$3,090.30	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $61.66 / $234.42	Professional		$38.90	$61.66	$234.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $42.66 / $72.44	Professional		$22.91	$42.66	$72.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $21,877.62 / $57,543.99	Facility		$5,248.07	$21,877.62	$57,543.99
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $15.14 / $15.14 / $15.14	Facility	53	$15.14	$15.14	$15.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $63.10 / $95.50	Professional		$38.90	$63.10	$95.50
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $53.70 / $58.88	Facility		$51.29	$53.70	$58.88
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $30.20 / $53.70	Professional		$29.51	$30.20	$53.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $57.54	Professional		$32.36	$33.11	$57.54
United Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $1,737.80 / $10,715.19	Facility		$331.13	$1,737.80	$10,715.19
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $58.88 / $100.00	Professional		$39.81	$58.88	$100.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Professional		$33.11	$33.11	$33.11