Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $66.07 / $169.82	Facility		$20.42	$66.07	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $16.98 / $28.18	Professional		$8.91	$16.98	$28.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.02 / $23.99	Professional		$10.23	$12.02	$23.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $21.88 / $61.66	Facility		$13.49	$21.88	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $19.05 / $40.74	Professional		$11.75	$19.05	$40.74
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $53.70 / $100.00	Facility		$11.48	$53.70	$100.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $21.88	Professional		$14.45	$14.45	$21.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $11.48 / $15.85	Professional		$2.88	$11.48	$15.85
United Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $14.45 / $23.99	Facility		$10.00	$14.45	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $10.00 / $24.55	Professional		$6.46	$10.00	$24.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $23.99	Professional		$14.45	$14.45	$23.99