Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $93.33 / $251.19	Facility		$38.90	$93.33	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $36.31 / $109.65	Professional		$23.99	$36.31	$109.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $19.50 / $45.71	Professional		$14.79	$19.50	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $42.66 / $141.25	Facility		$28.84	$42.66	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $33.11 / $69.18	Professional		$19.95	$33.11	$69.18
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 $20.89 / $20.89 / $34.67	Professional		$20.89	$20.89	$34.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $20.89 / $40.74	Professional		$4.68	$20.89	$40.74
United Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $31.62 / $43.65	Facility		$17.78	$31.62	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $24.55 / $56.23	Professional		$15.85	$24.55	$56.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $20.89 / $20.89	Professional		$9.55	$20.89	$20.89