Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.24 / $50.96 / $124.48	Facility		$29.24	$50.96	$124.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.54 / $23.24 / $30.42	Professional		$20.54	$23.24	$30.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.06 / $25.06 / $25.06	Professional		$25.06	$25.06	$25.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.27 / $28.41 / $107.38	Facility		$17.27	$28.41	$107.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.68 / $28.37 / $63.50	Professional		$16.68	$28.37	$63.50
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $24.84 / $141.99 / $228.88	Facility		$24.84	$141.99	$228.88
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $20.59 / $25.06 / $41.77	Professional		$20.59	$25.06	$41.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $20.05 / $27.56	Professional		$5.01	$20.05	$27.56
United Facility/Professional Facility Modifier Low / Median / High Price $41.77 / $41.77 / $62.66	Facility		$41.77	$41.77	$62.66
United Facility/Professional Professional Modifier Low / Median / High Price $12.76 / $17.54 / $47.44	Professional		$12.76	$17.54	$47.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.64 / $25.06 / $25.06	Professional		$21.64	$25.06	$25.06