Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.40 / $167.00 / $386.10	Facility		$45.40	$167.00	$386.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.35 / $43.58 / $68.48	Professional		$40.35	$43.58	$68.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.42 / $29.42 / $29.42	Professional		$29.42	$29.42	$29.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.19 / $52.62 / $126.05	Facility		$33.19	$52.62	$126.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.60 / $55.61 / $74.86	Professional		$32.60	$55.61	$74.86
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $48.78 / $278.85 / $449.49	Facility		$48.78	$278.85	$449.49
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $29.42 / $33.95 / $68.48	Professional		$29.42	$33.95	$68.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $26.86 / $36.93	Professional		$6.72	$26.86	$36.93
United Facility/Professional Facility Modifier Low / Median / High Price $49.03 / $49.03 / $73.54	Facility		$49.03	$49.03	$73.54
United Facility/Professional Professional Modifier Low / Median / High Price $17.16 / $28.77 / $68.48	Professional		$17.16	$28.77	$68.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.40 / $33.58 / $33.58	Professional		$25.40	$33.58	$33.58