Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $74.13 / $158.49	Facility		$16.98	$74.13	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $26.30 / $85.11	Professional		$20.89	$26.30	$85.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $17.78 / $39.81	Professional		$13.18	$17.78	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $36.31 / $75.86	Facility		$20.89	$36.31	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $32.36 / $44.67	Professional		$19.95	$32.36	$44.67
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $144.54 / $269.15	Facility		$30.90	$144.54	$269.15
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $40.74	Professional		$17.78	$17.78	$40.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $15.49 / $19.50	Professional		$3.55	$15.49	$19.50
United Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $23.99 / $36.31	Facility		$12.30	$23.99	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $17.38 / $39.81	Professional		$12.30	$17.38	$39.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $29.51	Professional		$17.78	$17.78	$29.51