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 / $30.90 / $446.68	Professional		$3.02	$30.90	$446.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.24 / $89.13	Professional		$7.24	$7.24	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $35.48	Professional		$28.18	$28.18	$35.48
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $6.61 / $22.39	Professional		$4.68	$6.61	$22.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $13.18 / $18.20	Professional		$3.31	$13.18	$18.20
United Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $6.76 / $14.45	Facility		$5.89	$6.76	$14.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.60 / $16.60	Professional		$16.22	$16.60	$16.60