Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $79.43 / $204.17	Facility		$27.54	$79.43	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $33.11 / $69.18	Professional		$26.92	$33.11	$69.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Professional		$20.89	$20.89	$20.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $42.66 / $169.82	Facility		$28.84	$42.66	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $30.20 / $70.79	Professional		$20.89	$30.20	$70.79
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 $25.12 / $25.12 / $34.67	Professional		$25.12	$25.12	$34.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $25.12 / $45.71	Professional		$5.50	$25.12	$45.71
United Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $37.15 / $43.65	Facility		$17.78	$37.15	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $18.20 / $64.57	Professional		$14.45	$18.20	$64.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $25.12 / $25.12	Professional		$11.22	$25.12	$25.12