Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $83.18 / $190.55	Facility		$20.42	$83.18	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $32.36 / $93.33	Professional		$23.99	$32.36	$93.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $17.38 / $42.66	Professional		$14.79	$17.38	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $42.66 / $141.25	Facility		$28.84	$42.66	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $29.51 / $74.13	Professional		$19.50	$29.51	$74.13
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $30.90 / $30.90	Facility		$21.38	$30.90	$30.90
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $35.48	Professional		$20.89	$20.89	$35.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $20.89 / $40.74	Professional		$4.68	$20.89	$40.74
United Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $31.62 / $43.65	Facility		$17.78	$31.62	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $17.78 / $60.26	Professional		$14.13	$17.78	$60.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $20.89 / $20.89	Professional		$9.55	$20.89	$20.89