Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.88 / $104.57 / $220.32	Facility		$30.88	$104.57	$220.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.46 / $26.05 / $40.99	Professional		$20.46	$26.05	$40.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.47 / $45.62 / $49.48	Professional		$9.47	$45.62	$49.48
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 / $17.55 / $58.49	Professional		$12.28	$17.55	$58.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $21.05 / $21.05	Professional		$21.05	$21.05	$21.05