Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $107.15 / $229.09	Facility		$41.69	$107.15	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $48.98	Professional		$41.69	$41.69	$48.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Professional		$17.78	$17.78	$17.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $29.51 / $169.82	Facility		$21.38	$29.51	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $41.69 / $79.43	Professional		$21.38	$41.69	$79.43
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $41.69	Professional		$25.12	$25.12	$41.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $27.54	Professional		$25.12	$25.12	$27.54
United Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $25.12 / $41.69	Facility		$15.85	$25.12	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $17.78 / $44.67	Professional		$14.79	$17.78	$44.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $41.69	Professional		$25.12	$25.12	$41.69