Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.07 / $121.88 / $225.00	Facility		$38.07	$121.88	$225.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.13 / $38.54 / $432.14	Professional		$32.13	$38.54	$432.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $60.40	Professional		$25.70	$25.70	$60.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.50 / $48.29 / $160.56	Facility		$34.50	$48.29	$160.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.91 / $40.10 / $85.53	Professional		$25.91	$40.10	$85.53
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $33.75 / $33.75 / $44.32	Facility		$33.75	$33.75	$44.32
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $59.32	Professional		$25.70	$25.70	$59.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.86 / $23.47 / $58.76	Professional		$5.86	$23.47	$58.76
United Facility/Professional Facility Modifier Low / Median / High Price $42.84 / $42.84 / $64.26	Facility		$42.84	$42.84	$64.26
United Facility/Professional Professional Modifier Low / Median / High Price $14.99 / $25.14 / $98.53	Professional		$14.99	$25.14	$98.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.67 / $26.67 / $26.67	Professional		$26.67	$26.67	$26.67