Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $15.14 / $245.47	Professional		$3.02	$15.14	$245.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.07 / $5.75	Professional		$4.07	$4.07	$5.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $32.36	Professional		$26.30	$26.30	$32.36
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $446.68 / $707.95	Facility		$239.88	$446.68	$707.95
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $6.61 / $19.95	Professional		$4.68	$6.61	$19.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $12.59 / $16.98	Professional		$3.09	$12.59	$16.98
United Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $8.91 / $19.05	Facility		$7.59	$8.91	$19.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $15.49 / $15.49	Professional		$9.33	$15.49	$15.49