Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $234.42 / $707.95	Facility		$56.23	$234.42	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.84 / $67.61	Professional		$19.95	$28.84	$67.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $58.88	Professional		$57.54	$57.54	$58.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $104.71 / $177.83	Facility		$48.98	$104.71	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $28.84 / $60.26	Professional		$20.42	$28.84	$60.26
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $56.23 / $107.15	Facility		$18.62	$56.23	$107.15
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $26.30 / $40.74	Professional		$20.89	$26.30	$40.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $19.95 / $33.11	Professional		$4.90	$19.95	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $69.18 / $144.54	Facility		$11.48	$69.18	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $26.30 / $47.86	Professional		$21.38	$26.30	$47.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $30.20	Professional		$17.38	$17.38	$30.20