Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.83 / $66.05 / $196.86	Facility		$29.83	$66.05	$196.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.52 / $28.42 / $40.35	Professional		$24.52	$28.42	$40.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $21.05 / $21.05	Professional		$21.05	$21.05	$21.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.26 / $39.56 / $132.52	Facility		$28.26	$39.56	$132.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $33.09 / $69.98	Professional		$21.27	$33.09	$69.98
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $21.37 / $21.37 / $30.85	Facility		$21.37	$21.37	$30.85
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $21.05 / $41.28	Professional		$21.05	$21.05	$41.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.63 / $18.52 / $40.86	Professional		$4.63	$18.52	$40.86
United Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $35.09 / $52.64	Facility		$35.09	$35.09	$52.64
United Facility/Professional Professional Modifier Low / Median / High Price $13.79 / $17.73 / $72.98	Professional		$13.79	$17.73	$72.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $21.05 / $21.05	Professional		$21.05	$21.05	$21.05