Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.37 / $67.81 / $202.47	Facility		$21.37	$67.81	$202.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.88 / $20.45 / $21.37	Professional		$18.88	$20.45	$21.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $13.76 / $13.76	Professional		$13.76	$13.76	$13.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.54 / $24.66 / $58.97	Facility		$15.54	$24.66	$58.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.31 / $26.12 / $35.10	Professional		$15.31	$26.12	$35.10
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $22.84 / $130.53 / $210.40	Facility		$22.84	$130.53	$210.40
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $15.90 / $32.06	Professional		$13.76	$15.90	$32.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $11.01 / $15.13	Professional		$2.75	$11.01	$15.13
United Facility/Professional Facility Modifier Low / Median / High Price $22.94 / $22.94 / $34.40	Facility		$22.94	$22.94	$34.40
United Facility/Professional Professional Modifier Low / Median / High Price $9.63 / $13.47 / $32.06	Professional		$9.63	$13.47	$32.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $13.76 / $13.76	Professional		$11.88	$13.76	$13.76