Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $112.20 / $263.03	Facility		$33.88	$112.20	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $38.02 / $61.66	Professional		$25.70	$38.02	$61.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Professional		$23.99	$23.99	$23.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $42.66 / $194.98	Facility		$28.84	$42.66	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $33.88 / $74.13	Professional		$23.44	$33.88	$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 $28.84 / $28.84 / $38.02	Professional		$28.84	$28.84	$38.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $28.84 / $51.29	Professional		$6.31	$28.84	$51.29
United Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $43.65 / $47.86	Facility		$20.42	$43.65	$47.86
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $20.42 / $75.86	Professional		$16.98	$20.42	$75.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $28.84 / $28.84	Professional		$12.88	$28.84	$28.84