Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $33.92 / $121.12	Facility		$10.00	$33.92	$121.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.60 / $24.73 / $27.80	Professional		$23.60	$24.73	$27.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.68 / $16.68 / $16.68	Professional		$16.68	$16.68	$16.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.82 / $29.88 / $71.47	Facility		$18.82	$29.88	$71.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $31.46 / $42.34	Professional		$18.44	$31.46	$42.34
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $27.67 / $158.18 / $254.98	Facility		$27.67	$158.18	$254.98
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $16.68 / $19.26 / $38.85	Professional		$16.68	$19.26	$38.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.69 / $14.74 / $20.27	Professional		$3.69	$14.74	$20.27
United Facility/Professional Facility Modifier Low / Median / High Price $27.80 / $27.80 / $41.70	Facility		$27.80	$27.80	$41.70
United Facility/Professional Professional Modifier Low / Median / High Price $9.73 / $16.54 / $38.85	Professional		$9.73	$16.54	$38.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $18.43 / $18.43	Professional		$14.40	$18.43	$18.43