Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.02 / $65.69 / $185.50	Facility		$37.02	$65.69	$185.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.80 / $37.02 / $54.25	Professional		$31.80	$37.02	$54.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.71 / $49.27 / $49.27	Professional		$25.71	$49.27	$49.27
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 $6.52 / $26.07 / $58.76	Professional		$6.52	$26.07	$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 $17.98 / $25.14 / $89.11	Professional		$17.98	$25.14	$89.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $29.63 / $29.63 / $29.63	Professional		$29.63	$29.63	$29.63