Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.81 / $55.66 / $159.87	Facility		$20.81	$55.66	$159.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.79 / $18.73 / $24.30	Professional		$16.79	$18.73	$24.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $12.49 / $13.88	Professional		$12.49	$12.49	$13.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.09 / $22.35 / $53.51	Facility		$14.09	$22.35	$53.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.83 / $23.60 / $31.49	Professional		$13.83	$23.60	$31.49
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $14.62 / $14.62 / $21.11	Facility		$14.62	$14.62	$21.11
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $14.13 / $28.50	Professional		$12.49	$14.13	$28.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.50 / $9.99 / $13.73	Professional		$2.50	$9.99	$13.73
United Facility/Professional Facility Modifier Low / Median / High Price $31.22 / $31.22 / $31.22	Facility		$31.22	$31.22	$31.22
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $12.21 / $28.50	Professional		$8.32	$12.21	$28.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.78 / $12.49 / $12.49	Professional		$10.78	$12.49	$12.49