Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.73 / $25.03 / $88.85	Facility		$17.73	$25.03	$88.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.89 / $17.73 / $19.11	Professional		$16.89	$17.73	$19.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.31 / $12.31 / $12.31	Professional		$12.31	$12.31	$12.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.90 / $22.03 / $52.76	Facility		$13.90	$22.03	$52.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.67 / $23.31 / $31.49	Professional		$13.67	$23.31	$31.49
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $20.43 / $116.78 / $188.24	Facility		$20.43	$116.78	$188.24
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $12.31 / $14.22 / $28.68	Professional		$12.31	$14.22	$28.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.70 / $10.78 / $14.82	Professional		$2.70	$10.78	$14.82
United Facility/Professional Facility Modifier Low / Median / High Price $20.52 / $20.52 / $30.78	Facility		$20.52	$20.52	$30.78
United Facility/Professional Professional Modifier Low / Median / High Price $7.18 / $12.05 / $28.68	Professional		$7.18	$12.05	$28.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.63 / $13.48 / $13.48	Professional		$10.63	$13.48	$13.48