Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.29 / $107.78 / $192.72	Facility		$39.29	$107.78	$192.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $30.33 / $40.99	Professional		$22.81	$30.33	$40.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.47 / $21.05 / $45.62	Professional		$9.47	$21.05	$45.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.26 / $39.56 / $132.52	Facility		$28.26	$39.56	$132.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.55 / $35.97 / $69.98	Professional		$21.55	$35.97	$69.98
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $21.05 / $41.65	Professional		$21.05	$21.05	$41.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.63 / $18.52 / $40.86	Professional		$4.63	$18.52	$40.86
United Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $35.09 / $52.64	Facility		$35.09	$35.09	$52.64
United Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $17.93 / $77.20	Professional		$12.28	$17.93	$77.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $21.05 / $21.05	Professional		$21.05	$21.05	$21.05