Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $45.71 / $123.03	Facility		$19.05	$45.71	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $19.05 / $30.90	Professional		$16.22	$19.05	$30.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $15.14	Professional		$13.18	$13.18	$15.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $26.92 / $56.23	Facility		$15.49	$26.92	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $24.55 / $33.88	Professional		$14.79	$24.55	$33.88
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $128.82 / $199.53	Facility		$67.61	$128.82	$199.53
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $30.20	Professional		$13.18	$13.18	$30.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $12.59 / $16.22	Professional		$2.88	$12.59	$16.22
United Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $16.60 / $26.92	Facility		$9.12	$16.60	$26.92
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $12.88 / $30.90	Professional		$8.32	$12.88	$30.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $21.88	Professional		$16.22	$16.22	$21.88