Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.62 / $33.07 / $104.10	Facility		$17.62	$33.07	$104.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $17.62 / $19.52	Professional		$15.32	$17.62	$19.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.27 / $16.27 / $16.27	Professional		$16.27	$16.27	$16.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.62 / $19.05 / $80.27	Facility		$13.62	$19.05	$80.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $27.89 / $41.30	Professional		$13.54	$27.89	$41.30
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $16.27 / $16.27 / $32.11	Professional		$16.27	$16.27	$32.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.27 / $16.27 / $17.89	Professional		$16.27	$16.27	$17.89
United Facility/Professional Facility Modifier Low / Median / High Price $27.11 / $27.11 / $40.65	Facility		$27.11	$27.11	$40.65
United Facility/Professional Professional Modifier Low / Median / High Price $9.49 / $11.39 / $35.28	Professional		$9.49	$11.39	$35.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.04 / $16.27 / $16.27	Professional		$14.04	$16.27	$16.27