Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.20 / $87.10 / $224.35	Facility		$31.20	$87.10	$224.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $27.75 / $40.99	Professional		$22.81	$27.75	$40.99
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 $12.28 / $17.73 / $77.20	Professional		$12.28	$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