Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $30.90 / $114.82	Facility		$4.37	$30.90	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $21.88 / $30.20	Professional		$19.05	$21.88	$30.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $16.98 / $17.78	Professional		$15.49	$16.98	$17.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $30.90 / $66.07	Facility		$17.78	$30.90	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $20.89 / $47.86	Professional		$16.98	$20.89	$47.86
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $125.89 / $234.42	Facility		$26.30	$125.89	$234.42
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $35.48	Professional		$15.49	$15.49	$35.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $13.80 / $17.38	Professional		$3.16	$13.80	$17.38
United Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $19.05 / $31.62	Facility		$10.72	$19.05	$31.62
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $15.14 / $35.48	Professional		$10.72	$15.14	$35.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $25.70	Professional		$17.38	$17.38	$25.70