Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $53.70 / $125.89	Facility		$13.18	$53.70	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.18 / $20.89	Professional		$10.96	$13.18	$20.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $11.22	Professional		$11.22	$11.22	$11.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $16.98 / $47.86	Facility		$11.48	$16.98	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $15.49 / $28.18	Professional		$9.12	$15.49	$28.18
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $67.61 / $125.89	Facility		$14.13	$67.61	$125.89
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $19.05	Professional		$11.22	$11.22	$19.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $8.91 / $12.30	Professional		$2.24	$8.91	$12.30
United Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $11.22 / $18.62	Facility		$7.08	$11.22	$18.62
United Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $7.76 / $18.62	Professional		$6.46	$7.76	$18.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $18.62	Professional		$11.22	$11.22	$18.62