Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.45 / $67.08 / $149.04	Facility		$22.45	$67.08	$149.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $25.68 / $37.00	Professional		$20.72	$25.68	$37.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.80 / $17.76 / $20.56	Professional		$14.80	$17.76	$20.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.48 / $31.79 / $76.09	Facility		$20.48	$31.79	$76.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.76 / $33.54 / $44.91	Professional		$19.76	$33.54	$44.91
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $29.46 / $168.36 / $271.38	Facility		$29.46	$168.36	$271.38
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $17.76 / $20.50 / $41.36	Professional		$17.76	$20.50	$41.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.56 / $14.22 / $19.55	Professional		$3.56	$14.22	$19.55
United Facility/Professional Professional Modifier Low / Median / High Price $11.84 / $17.76 / $41.36	Professional		$11.84	$17.76	$41.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.33 / $17.78 / $17.78	Professional		$15.33	$17.78	$17.78