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 / $18.20 / $588.84	Professional		$3.02	$18.20	$588.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $4.68 / $4.79	Professional		$4.47	$4.68	$4.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $34.67	Professional		$27.54	$27.54	$34.67
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $549.54 / $870.96	Facility		$295.12	$549.54	$870.96
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 $3.63 / $14.45 / $19.95	Professional		$3.63	$14.45	$19.95
United Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $10.23 / $21.88	Facility		$8.71	$10.23	$21.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $18.20 / $18.20	Professional		$10.23	$18.20	$18.20