Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $165.96 / $524.81	Facility		$36.31	$165.96	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $26.92 / $64.57	Professional		$19.05	$26.92	$64.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $104.71 / $177.83	Facility		$41.69	$104.71	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $27.54 / $56.23	Professional		$19.50	$27.54	$56.23
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $60.26 / $112.20	Facility		$19.95	$60.26	$112.20
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $25.70 / $38.90	Professional		$19.50	$25.70	$38.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $19.50 / $33.11	Professional		$5.75	$19.50	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $64.57 / $144.54	Facility		$12.02	$64.57	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.70 / $45.71	Professional		$20.89	$25.70	$45.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $28.18	Professional		$16.98	$16.98	$28.18