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 / $20.89	Professional		$19.05	$19.05	$20.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $17.38 / $20.89	Professional		$5.37	$17.38	$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 $12.59 / $20.42 / $43.65	Professional		$12.59	$20.42	$43.65
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $6.61 / $18.62	Professional		$4.68	$6.61	$18.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $13.49 / $18.62	Professional		$3.39	$13.49	$18.62
United Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $10.72 / $19.50	Facility		$7.76	$10.72	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $10.00 / $22.91	Professional		$7.76	$10.00	$22.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $16.98 / $16.98	Professional		$12.59	$16.98	$16.98