Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $77.62 / $162.18	Facility		$22.39	$77.62	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $21.38 / $32.36	Professional		$18.20	$21.38	$32.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Professional		$14.79	$14.79	$14.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $27.54 / $77.62	Facility		$18.62	$27.54	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $33.11 / $66.07	Professional		$23.44	$33.11	$66.07
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $109.65 / $204.17	Facility		$23.44	$109.65	$204.17
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $30.90	Professional		$17.78	$17.78	$30.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $17.78 / $33.11	Professional		$3.98	$17.78	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $17.78 / $30.20	Facility		$7.76	$17.78	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $12.88 / $30.90	Professional		$10.47	$12.88	$30.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $30.20	Professional		$17.78	$17.78	$30.20