Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $61.66 / $147.91	Facility		$19.50	$61.66	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $17.38 / $25.12	Professional		$15.14	$17.38	$25.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $13.18 / $13.49	Professional		$9.77	$13.18	$13.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $23.99 / $50.12	Facility		$13.49	$23.99	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.14 / $37.15	Professional		$12.88	$15.14	$37.15
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $27.54	Professional		$11.75	$11.75	$27.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $10.00 / $12.88	Professional		$2.34	$10.00	$12.88
United Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $14.79 / $23.99	Facility		$8.32	$14.79	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $11.48 / $26.30	Professional		$8.32	$11.48	$26.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $19.50	Professional		$12.59	$12.59	$19.50