Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.40 / $75.23 / $173.53	Facility		$15.40	$75.23	$173.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.68 / $25.98 / $32.92	Professional		$15.68	$25.98	$32.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.89 / $10.89 / $12.10	Professional		$10.89	$10.89	$12.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.28 / $19.48 / $46.63	Facility		$12.28	$19.48	$46.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $20.51 / $27.88	Professional		$12.02	$20.51	$27.88
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $103.20 / $166.35	Facility		$18.05	$103.20	$166.35
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $10.88 / $12.57 / $25.35	Professional		$10.88	$12.57	$25.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $8.69 / $11.96	Professional		$2.18	$8.69	$11.96
United Facility/Professional Professional Modifier Low / Median / High Price $6.35 / $10.65 / $25.35	Professional		$6.35	$10.65	$25.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.40 / $10.88 / $10.88	Professional		$9.40	$10.88	$10.88