Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.83 / $75.00 / $174.70	Facility		$29.83	$75.00	$174.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.51 / $35.18 / $63.18	Professional		$23.51	$35.18	$63.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.48 / $9.48 / $9.48	Professional		$9.48	$9.48	$9.48
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 / $35.31 / $69.98	Professional		$21.27	$35.31	$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 $26.48 / $35.09 / $52.64	Facility		$26.48	$35.09	$52.64
United Facility/Professional Professional Modifier Low / Median / High Price $14.19 / $17.73 / $77.20	Professional		$14.19	$17.73	$77.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $21.05 / $21.05	Professional		$21.05	$21.05	$21.05