Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.20 / $47.94 / $129.61	Facility		$21.20	$47.94	$129.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.71 / $17.41 / $34.82	Professional		$15.71	$17.41	$34.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Professional		$14.45	$14.45	$14.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.50 / $19.54 / $61.94	Facility		$12.50	$19.54	$61.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $20.51 / $36.65	Professional		$12.02	$20.51	$36.65
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $17.34 / $96.54 / $155.62	Facility		$17.34	$96.54	$155.62
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $14.12 / $14.45 / $28.54	Professional		$14.12	$14.45	$28.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.89 / $11.56 / $15.89	Professional		$2.89	$11.56	$15.89
United Facility/Professional Professional Modifier Low / Median / High Price $8.43 / $10.60 / $25.23	Professional		$8.43	$10.60	$25.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $14.45 / $14.45	Professional		$12.48	$14.45	$14.45