Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $61.66 / $165.96	Facility		$18.20	$61.66	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $16.98 / $23.99	Professional		$15.14	$16.98	$23.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.23 / $12.30	Professional		$10.23	$10.23	$12.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $25.12 / $52.48	Facility		$14.13	$25.12	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $16.60 / $38.90	Professional		$13.49	$16.60	$38.90
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $100.00 / $186.21	Facility		$20.89	$100.00	$186.21
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $28.18	Professional		$12.30	$12.30	$28.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $10.72 / $13.49	Professional		$2.45	$10.72	$13.49
United Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $16.60 / $25.12	Facility		$8.51	$16.60	$25.12
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $12.02 / $28.84	Professional		$8.51	$12.02	$28.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $20.42	Professional		$13.49	$13.49	$20.42