Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $97.72 / $165.96	Facility		$28.84	$97.72	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $28.18 / $46.77	Professional		$23.99	$28.18	$46.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $32.36 / $74.13	Professional		$16.22	$32.36	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $39.81 / $83.18	Facility		$22.91	$39.81	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $37.15 / $74.13	Professional		$22.91	$37.15	$74.13
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $158.49 / $295.12	Facility		$33.88	$158.49	$295.12
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $44.67	Professional		$19.50	$19.50	$44.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $17.38 / $21.88	Professional		$3.89	$17.38	$21.88
United Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $24.55 / $39.81	Facility		$13.80	$24.55	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $19.05 / $43.65	Professional		$13.80	$19.05	$43.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $32.36	Professional		$21.88	$21.88	$32.36