Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.27 / $197.20 / $430.08	Facility		$21.27	$197.20	$430.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.04 / $27.73 / $40.28	Professional		$20.04	$27.73	$40.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.71 / $18.71 / $18.71	Professional		$18.71	$18.71	$18.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.17 / $138.63 / $229.70	Facility		$25.17	$138.63	$229.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.28 / $30.32 / $57.60	Professional		$21.28	$30.32	$57.60
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $66.34 / $106.33	Facility		$27.54	$66.34	$106.33
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $20.46 / $30.08 / $40.04	Professional		$20.46	$30.08	$40.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.62 / $33.26 / $55.11	Professional		$13.62	$33.26	$55.11
United Facility/Professional Facility Modifier Low / Median / High Price $45.95 / $252.18 / $567.40	Facility		$45.95	$252.18	$567.40
United Facility/Professional Professional Modifier Low / Median / High Price $21.29 / $26.35 / $54.06	Professional		$21.29	$26.35	$54.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $16.39 / $16.39	Professional		$16.39	$16.39	$16.39