Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.94 / $66.06 / $291.60	Facility		$23.94	$66.06	$291.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.35 / $16.23 / $32.50	Professional		$14.35	$16.23	$32.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.09 / $13.30 / $13.86	Professional		$11.09	$13.30	$13.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.50 / $19.54 / $56.99	Facility		$12.50	$19.54	$56.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $14.75 / $32.01	Professional		$11.15	$14.75	$32.01
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 $13.30 / $13.30 / $26.27	Professional		$13.30	$13.30	$26.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.66 / $10.64 / $14.63	Professional		$2.66	$10.64	$14.63
United Facility/Professional Facility Modifier Low / Median / High Price $22.17 / $22.17 / $33.26	Facility		$22.17	$22.17	$33.26
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $10.69 / $29.84	Professional		$8.32	$10.69	$29.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $13.30 / $13.30	Professional		$11.48	$13.30	$13.30