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 $19.05 / $19.05 / $25.12	Professional		$19.05	$19.05	$25.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $20.42 / $20.89	Professional		$6.03	$20.42	$20.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $18.20 / $43.65	Professional		$7.41	$18.20	$43.65
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $6.61 / $16.60	Professional		$4.68	$6.61	$16.60
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 $8.71 / $10.72 / $21.88	Facility		$8.71	$10.72	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $10.23 / $26.30	Professional		$8.51	$10.23	$26.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.60 / $16.60	Professional		$14.13	$16.60	$16.60