Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $93.33 / $204.17	Facility		$36.31	$93.33	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $36.31 / $60.26	Professional		$26.92	$36.31	$60.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $25.12	Professional		$20.89	$20.89	$25.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $51.29 / $169.82	Facility		$34.67	$51.29	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $33.88 / $81.28	Professional		$23.44	$33.88	$81.28
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $43.65 / $43.65	Facility		$33.88	$43.65	$43.65
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $48.98	Professional		$25.12	$25.12	$48.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $26.30 / $44.67	Professional		$5.89	$26.30	$44.67
United Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $37.15 / $51.29	Facility		$21.38	$37.15	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $24.55 / $72.44	Professional		$17.38	$24.55	$72.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $29.51 / $29.51	Professional		$13.49	$29.51	$29.51