Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $123.03 / $213.80	Facility		$38.02	$123.03	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $38.02 / $66.07	Professional		$32.36	$38.02	$66.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $25.70 / $48.98	Professional		$21.38	$25.70	$48.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $52.48 / $173.78	Facility		$35.48	$52.48	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $36.31 / $85.11	Professional		$23.99	$36.31	$85.11
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $44.67 / $44.67	Facility		$33.88	$44.67	$44.67
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $50.12	Professional		$25.70	$25.70	$50.12
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 $21.88 / $38.90 / $52.48	Facility		$21.88	$38.90	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $25.12 / $74.13	Professional		$17.78	$25.12	$74.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $29.51 / $29.51	Professional		$13.18	$29.51	$29.51