Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $89.13 / $190.55	Facility		$26.30	$89.13	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $33.88 / $87.10	Professional		$28.84	$33.88	$87.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $22.39 / $26.30	Professional		$19.95	$22.39	$26.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $45.71 / $97.72	Facility		$26.30	$45.71	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $30.20 / $70.79	Professional		$25.12	$30.20	$70.79
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $39.81 / $39.81	Facility		$38.02	$39.81	$39.81
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $38.02	Professional		$22.39	$22.39	$38.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $4.07 / $5.01	Professional		$1.00	$4.07	$5.01
United Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $28.18 / $46.77	Facility		$15.85	$28.18	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $21.38 / $51.29	Professional		$13.18	$21.38	$51.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $4.57 / $38.02	Professional		$4.57	$4.57	$38.02